20610 76TH AVE W20CP/0
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FIRE PREVENTION
Servoig Bri— _,,.,)nds, and
12425 Meridian Ave S
INSPECTION REPORT
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SNOHOMISH CO.
FIREMountlake
Terrace
Everett, WA 98208
DIVIONDS
FBRIER
DISTRET
www.FireDistrictl.org
Phone (425) 551-1200
Fax (425) 551-1272
F-1 MOUNTLAKEJER RACE
El UNINCORPO
FREQUEZY
STAT14N & SHIFT
LOCATION:
2061076th AvenuaW 9,%26
Allnual
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BUSINESS NAME:
KukiialfflinhLcr ApLs
PHONE: 425774MI
SCHEDULED
DATE ni IE ALPA 201
MAILING
FIR � 4' 22 20b
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ADDRESS:
PO Box 43237, Lyrummod, WA 93046
BUSINESS OWNER:
Redlifirl, losvi"An
HOME PHONE:
EMERGENCY-1:
HOME PHONE: 51139M-LS25
�CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
EMAIL:
BUSINESS
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LICENSE ,
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PERSON CONTACTED:
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INITIAL IN SPECTION'
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NAME OF INSPECTOR:
FIPE SYS I EMS:
FE 1712
HAZARDS F UN AND LOCAT NS / c6mMUMCATIONS
2
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
lst RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
. VIOLATIONS
CITED:
PERSON
CONTACTED:
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
6
.4
8
4
18
DATE:
DISPOSITION:
7
LETTERNEEDED [-] YES NO
LETTERNEEDED [:] YES Ej NO
8
FIRE DEPARTMENT COPY
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Serving Brier, Edmonds
Mountlake Terraceand
the Town of Woodway
www.FireDistrict].org
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FIRE PREVENTION
Ave"S'
INSPECTION REPORT
,Everett, WA 98208
UEDMONDS
0 BRIER
Ph6ne (4A 551-1200
EIWOODWAY
'[I
MOUNTLAKE TERRACE
Fax (425) 551-1272
[1 UNINCORPORATED
I
" FREQUENCY
STATION&SHIFF)
LOCATION: 20610 76th Ave W, Edmonds 08026
1&D
I
BUSINESS NAME: Knightlighfi�r Apts
PHONE: 4257746631
SCHEDULED
DATE DUE AU9
MAILING
UFIR 0 591
ADDRESS: kPO Box 3287, Lynnwood, WA 98046
BUSINESS OWNER:1 , Selling, %,,Ivia
HOME PHONE:
V Email:
EMERGENCY-1: Bierek, D.M.
HOME PHONE: 5ogt349;,825
"'CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS E]
El
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF I - NSPECTOR:
0 C) vi L_
0 07-
0 1
9 RE SYSTEmS: i i z.
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
11 5
VIOLATIONS
1 5
PRE -CITATION
L rER SENT
CITATION ISSUED
NUMBER:
4
12
6
2
6
DATE:
CODE
SECTION:
5
I
3
7
3
7-
RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED E] YES C3 N01
rLETTER NEEDED F] YES NO
8
FIRE DEPARTMENT COPY
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K
"�WA,4
— — — — — —
— — — — --
FIRE PREVENTION
I Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO. I
EIEDMONDS
Mountlake Terrace, and
TIRE
fm
Everett, WA 98208
0 BRIER
0:1 the Town of Woodway
D I WE Juml T,
Phone (425) 551-1200
OWOODWAY
0 MOUNTLAKE TERRACE
www.FireDistr.ic.tl.org
Fax (425) 551-1272
0 UNINCORPORATED
LOCATION: 76th Avenue
W
FREQUENCY
365
STATION & SHIFT
16 6
BUSINESS NAME: Knightlighter Apts
PHONE: 4257746631
SCHEDULED g8/01/1 I
DATE DUE �
MAILING POB #3287
LIFIR 1, 422 8206
ADDRESS: Lynnwood
98046
%,
BUSINESS OWNER: "Bierek, D.M."
HOME PHONE: 5096492825
ACTIVE
EMERGENCY-1: Belling, Sylvia
HOME PHONE: 4257746631
�IUTRyR E N T
KEY ACCESS-2:
HOME PHONE:
YES NO
BUSINESS
El El
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: -)Q 0
FIRE
"ov
F E LF lj_U
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
AID I Ll,-,j I-C, I
2 Tn."y-
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABdVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
I NSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 15
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
6
4
8
4
8
DATE:
'DISPOSITION ( :
7
LETTER NEEDED E] YES F-1 No
rLETTER NEEDED [] YES NO
8
FIRE DEPARTMENT COPY