20620 76TH AVE W�2.PUZO 7& -th JqL)
(,j FIRE PREVENT16N
ServingBrier Ea.___ nd .12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
FIRE
Mountlake Terrace
EvbwC WA 98208
�9ED%ONDS
0 BRI R
DISTR7*T
Phone. (425) 551-1200
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
wwwFireDistrictl.org
Fax (425) 551-1272
FREQUENCY STATION& SHIFT-"'
LOCATION:
2MO 76 th Awtiue W Suite B. 2SD26
Annual 16-A
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BUSINESS NAME:
Ccdaml[anc C-andm
PHONE:
SCHEDULED Ausl 2014
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MAILING
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UFIR 422 20b
ADDRESS:
2{)E2{) Mh Avenuc VV, Suitc B, F-dimndti, WA 0802f,
BUSINESS OWNER:
Pmrwn, Kamy
HOME PHONE:
EMERGENCY-1:
Pcrkim, Cathy
HOME PHONE: 4257710320
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES
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HAZARDS FOUND ANVCATI
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2
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4
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5
5
6
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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
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
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INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
D E:
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3
VIOLATIONS
1 5
VIOLATIONS
1 5
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LETTER SENT
CITATION ISSUED
NUMBER:
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2
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- 1 .1
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DATE:
CODE
SECTION:
5
3
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RETURN RECEIPT
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6
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DATE:
DISPOSITION:
7
\1 LETTER NEEDED [] YES NO
.4
LETTER NEEDED E] YES [-I NO
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*A
OIRE DEkRTMENT- COPY
SNOHOMISH-CO.
FIRE
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Serving Briet; Edinonds
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the Town o bodway
Twww.FireDistrictl.org
12425.Meridian Ave S.
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
-.:.F:i,R*E. PREVENTION
INSPECTION REPORT
ElEDMONDS
0 BR"IER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
REQUENCY STATION & SHIFT-)
LOCATION: 20620 76th Ave W, Edmonds 98026 Annual 1 6-D
BUSINESS NAME: Cedarstone Condos PHONE: SCHEDULED
DATE DUE Au9
MAILING UFIR 0
ADDRESS: 20620 76thAve W Unit B, Edmonds, WA 98026
BUSINESS OWNER: HOME PHONE:
Perkins, Kathy
Email:
EMERGENCY-17Perkins, Cathy 4257719-3-2d-- CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:'
NAME OF INSPECTOR: o2-ol- �015
FIRE SYSTEMS: FE I
HAZARDS FOUND AND LOCATIONS/ COMMUNICATIONS
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2
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4
5
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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
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PERSON
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INSPECTOR:
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,DATE:
DATE:
DATE:
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VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION'
LETTER SENT
CITATION ISSUED
NUMBER:
4
6
1
2
6
— .
DATE:
CODE
SECTION:
5
3
7
3
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RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
7
\,.LETTER NEEDED [] YES NO
LETTER NEEDED (] YES NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Briet; Edinonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
TIRE
Everett, WA 98208
OEDMONDS
0 BRIER
the Town of Woodway
DISTR
Phone (425) 551-1200
E]WOODWAY
[1 MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
ST ATION & SHIFT
LOCATION: 2062_0.� 76thAvenue
W
365
16 6
BUSINESS NAME: Cedarstone Condos
PHONE:
SCHEDULED
DATE DUE
MAILING 20620 76th W Unit 6
LIFIR o 424 8206
ADDRESS: Edmonds
98020
BUSINESS OWNER: Perkins, Cathy
HOME PHONE: 4257719329
ACTIVE
EMERGENCY-1: �11\ ct
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I AGREE TO CORRECT THE ABOVE VIOLATION(S IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE-INSPECT17
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
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INSPECTOR:
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VIOLATIONS
5
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PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
6
2
6
DATE:
CODE
SECTION:
5
3
7
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RETURN RECEIPT
RECEIVED
6
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18
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8
DATE:
DISPOSITION:
7
LETTER NEEDED C] YES [I NO
LETTER NEEDED C] YES El NO
8
FIRE DEPARTMENT COPY
SNOHOMISH CO.
FIRE
DI nniq
Sa.
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Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Twww.FireDistrictl. org
Phone (425) 551-1200
Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
El MOUNTLAKE TERRACE
[3 UNINCORPORATED
FREQUENCY
- STATI - ON - & SHIFT`�
LOCATION:
20622 76 th Avenue W 98026
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16-e
BUSINESS NAME:
PHONE:
SCHEDULED
DATE DUE �
Cedarstone 11 Apts
2069884223
Aug
2916
MAILING
UFIR
ADDRESS:
422206
20622 76th Avenue W, Edmonds, WA 98026
BUSINESS OWNER:
HOME PHONE:
Maxfield, Jeannette Mngr
EMERGENCY- 1:
I
HOME PHONE:
"--CURRENT
KEY ACCESS-2:
The Foundation Group/Quaife, Howard
HOME PHONE:
2063131866
CITY
YES NO
BUSINESS
EMAIL:
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE 8/14
I I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X I
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspections" of all.businesses and multi -family occupancies in the Cities,
covered by Snohomish County Fire District 1.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you
will find the item(s) that were noted during, our inspection which require attention to bring them into compliance
with the minimum standards adopted by the above jurisdictions.
Any overlooked hazards or violations. of the fire regulations does not imply approval of such conditions or violation.
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-7720; for
Mountlake Terrace or Brier, call (425) 744-6231.
M "?4/ )ouzz IU4-A iqoG
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FIRE PREVENTION
LJ
Ser�-ing Briet; Edmonds, and
1.12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
FIRE-71*
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Alountlake Terrace
Everett, WA 98208
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I'— FREQUENCY
STATION & SHIFT-*'
LOCATION:
20622 -16 th "A%etwe W 03026
Annual
16-A
I
BUSINESS NAME:
Cedam-Loric; If Aplb
PHONE: 20EM184223
SCHEDULED Ailp 2014
DATE DUE I"
MAILING
UFIR k 422 2()b
ADDRESS:
21DE22 7Eh Avcnuc W, Edamnds, WA 0902E,
BUSINESS OWNER:
M.9%fiftirl''It'Amit-ttm Mull.
HOME PHONE:
EMERGENCY-1:
I tic Fo undaUark GrouplOuailc,l k3vmrd
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2
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4
4
5
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DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
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CITED:
PERSON
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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 18
4
18
DATE,
DISPOSITION:
7
\1 LETTER NEEDED [] YES NO
rLETTER NEEDED [j YES NO
r
8
FIRE DEPARTMENT COPY
W
FIRE'pk*EVENTIC
r '12425*MerididnAve S INSPECTION REPOh,
Serving Brie'' Edmonds
SNOHOMISH CO. OEDMONDS
Mountlake Terraceand Everett, WA 98208 0 BRIER
FIRE th Town of Woodway Phone (425) 551-1200 E]WOODWAY
MOUNTLAKE TERRACE
DIST R-IfT www.FireDistrictl.org Fax (425) 551-1272 D UNINCORPORATED
LOCATION: I` FREQUENCY I STATION & SHIF")
20622 76th Ave W, Edmonds 98026 Annual 16-0
SCHEDULED
BUSINESS NAME: Cedarstone IlApts PHONE: 21069384223 DATE DUE Aug
MAILING UFIR 0
ADDRESS: 4f— 1�
BUSIhESS OWNER:
Email Act, f\ HOME PHONE.
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D E DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
IN PECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
J4.,
2
6
2
6
DATE:
CODE
SECTION�
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
18
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES El No
LETTER NEEDED 'E] YES NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
TIRE
Everett, WA 98208
0 EDMONDS
0 BRIER
the Town of Woodway
I I
DISTR T
Phone (425) 551-1200
E]WOODWAY
MOUNTLAKE TERRACE
www.,FireDistrict].org
Fax (425) 551-1272
UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION: 20622 76th Avenue
365
16 6
BUSINESS NAME:� Cedarstone 11 Apts
PHONE: 2069384223
SCHEDULED
DATE DUE 0 09/01/11
MAILING/ 20916 76th Av IN #1
LIFIR o 423 9206
ADDRESSj`.
Edmonds
98026
BUSINESS OWNER: Quaffie, Howard
HOME PHONE: 2069384223
ACTIVE
EMERGENCY-1: Maxfield, Jeanette
HOMEPHONE: 4257441M2
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
El 1:1
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE'
NAME OF INSPECTOR:
FIRE
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ANNUAL
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kup 11 av�_ -fk 11�y,
2
2
3
3
4
4
5
5
6
6
7
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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:
1
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
18
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES NO
LETTER NEEDED F] YES NO
8
FIRE DEPARTMENT COPY