1067 5TH AVE SSNOHOMISH CO.
FIRE PREVENTION
Serving Brier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT
Mountlake Terrace Everett, WA 98208 ❑ ❑BEDMORIER S
RIER
Phone (425) 551-1200 ❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
www.FireDistrictl.org Fax (425) 551-1272
LOCATION:1067 5 th Avenue S 98020
BUSINESS NAMEGardenvleW Condos
MAILING
ADDREss1067 5th Avenue S, Edmonds, WA 98020
BUSINESS OWNER -Larry Bach
EMERGENCY-1:
KEY ACCESS-2LoWell/McIntosh
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR: (�
FIRE SYSTEMS: FE 9/17
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PHONE: 4257768801
HOME PHONE
FREQUENCY STATION & SHIFTnual An17-A
SCHEDULED
DATE DUE I"Dec 2018
UFIR 1, 422153
HOME PHONE: CURRENT
HOME PHONE: 4257451310 CITY YES NO
17 BUSINESS ❑
LICENSE
INITIAL INSPECTION DATE
LOCATIONS/ COMMUNICATIONS
3
3
4
4
5
5
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7
1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1St RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:L�
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
e
4
8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
B