20822 76TH AVE W (2)FIRE
PREVENTION
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12425 Meridian Ave S
INSPECTION REPORT
Mozintlake Terrace
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Everett, WA 98208
DEDMONDS
0 BRIER
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D11www.FireDistrictl.org
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20822 76 th Avenue W 98026
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Sir James Court Apts
4257729602
SCHEDULED Apr 2017
BUSINESS NAME:
PHONE:
DATE DUE 0
MAILING 20822 76th Avenue W, Edmonds, WA 98026
427206
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BUSINESS OWNER:
HOME PHONE:
Parker, Michael
4257729604
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FIRE SYSTE MS: FE 5/13
12425 Meridian Ave S
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PHONE: 4257729602
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INSPECTION REPORT
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DATE DUE: 1�*c
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DISPOSITION:
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DATE:
LETTER NEEDED [] YES 0 NO
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FIRE PREVENTION
Sbiwing Briei; Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
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Everett, WA 98208
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DATE DUE:
2nd RE -INSPECTION
DATE DUE:
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LETTER SENT
Crl�ATION ISSUED
NUMBER:
4
2
6
2
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DATE:
CODE
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RECEIVED
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4
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8
DATE:
DISPOSITION:
7
LETTERNEEDED YES No
LETTER NEEDED [-] YES NO
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FIRE DEPARTMENT COPY
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SNOHOMISH CO. Serving Briei; Edinonds
FIREMountlake Terraceand
th Town of Woodway
DISTR' T www.FireDistrictl.org
LOCATION: 20822 76th Avenue
BUSINESS NAME: Sir James Court Apts
MAILING 17512 71st Ave W
ADDRESS: Edmonds
BUSINESS OWNER: Parker, Michael
EMERGENCY-1: PadKer, Debora
KEY ACCESS-2: Myers, Won site MGR.
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PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
WA
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4257729602
98026
HOMEPHONE: 4257729604
HOMEPHONE: 4257729602
HOME PHONE:
FIRE PREVENTION
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EDMONDS
B,RIER
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366 16 A
SCHEDULED
DATE DUE 1' 04,101/13
LIFIR � 427 4206
ACTIVE
CURRENT
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INITIAL INSPECTION DATE
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ANNUAL
HAZARDS FOUND AND LOCATIO
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/ COMMUNICATIONS
2
2
3
3
4
4
5
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:
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CITED:
PERSON
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PERSON
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INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
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1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4 1
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
2
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RETURN RECEIPT
RECEIVED
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DISPOSITION:
7
LETTER NEEDED [] YES El No
rLETTER NEEDED C] YES [:1 NO
1
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FIRE DEPARTMENT COPY
Sei-ving Bi-iei; Edmonds
SNOHOMISH CO.
"FIRE Mountlake Tei-i-aceand
the Town of Woodway
DISTR wwwFireDistrictl.org
LOCATION: 20822 76th Avenue
BUSINESS NAME: Sir James Court Apts
MAILING 175 -12 71 st Ave W
ADDRESS: Edmonds
BUSINESS OWNER: Parker, Michael
EMERGENCY-1: Parker, Debora
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR:
"v FIRE
SYST EMS:
W '
12425 Me4dian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4257729602
98026
HOME PHONE: 4257729604
HOME PHONE: 4257729602
HOME PHONE:
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FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
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366 16 D
SCHEDULED
DATEDUE 11' 04/01/12
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ACTIVE
CURRENT
CITY YES NO
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INITIAL INSPECTION DATE
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HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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4
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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
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
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VIOLATIONS
5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
3
6
7
DATE:
CODE
SECTION:
5
3
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RETURN RECEIPT
RECEIVED
6
4
18
4
8
DATE:
DISPOSITION:
1
LETTER NEEDED [] YES NO
LETTER NEEDED [:] YES N
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FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5T" AVENUE N. - EDMONDS, WAgHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
LOCATION: 20822 76th Avenue
BUSINESS NAME: Sir James Court Apts
MAILING 17512 71 st Ave W
ADDRESS: Edmonds
BUSINESS OWNER: Parker, Michael
EMERGENCY-1: Parker, Debora
KEY ACCESS-2:
w
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257729602
98026
HOMEPHONE: 4257729604
HOMEPHONE: 4257729602
HOME PHONE:
FREQUENCY
STATION 1, SHIFT
16 6
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SCHEDULED
DATE DUE 0
04/01/10
UFIR 1� 427
4206
ACTIVE
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NAME OF INSPECTOR: Akeh4 �z - /6/5 - Ila
FIRE FE0
ANNUAV�7.
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE 10
VIOLATION CODE
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3
3
4
4
5
5
6
6
7
7
8
8
Ist 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 EVCCO 5
\AOLATIONS
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
7
4
18
4
8
DATE:
DISPOSITION:
8
� LETTER NEEDED 0 YES [3 NO
LETTER NEEDED [3 YES NO
FIRE DEPARTMENT COPY