21006 72ND AVE W (2)Serving Briei; Edmonds, FIRE PREVENTION
L.winwood and M(nindake 12425 Meridian Ave S IINSPECTIOt4 REPORT
13 EDMONDS
Terrace, Everett, WA 98208 0 BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
UNINCORPORATED
'A'W-w Soullisnofire. org Fax (425) 551-1272
0 FREOUENCY STATION &SHIFT
LOCATION: 21006 72 nd Avenue W 98026 Annual
BUSINESS NAME:Cedar Creek Memory Care Community PHONE: 3608671900 SC"EDUIEI Ju12019
DATE DUE
MAIUNG 140 uFjR o 311 157
ADDRESS: 111 Market St N E #200, Olympia, WA 98501
BUSI NESS OWNERW11v�, m 74VVQ HOME PHONE:
EMERGENCY-1 Woodr4s"n k HOME PHONE C IEN*
: 4253667746 YES NO
KEY ACCESS-2: HOME PHONE: 0— Cr%R 4.
6 17-0) BUSINESS
EMAIL: LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTEDr.
NAME OF INSPECTOR:
/41
S IofFE
FIRE Sy TEMS: AS FA
— - - - - - - - - - - - - - -
L0CAtT$ I "WMf4M)pS
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7
I AGREE TO CORRECTTHE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey InspectionSn 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 conoitions or violati
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-7720; f r
Mou ntlake Terrace or Brier, call (425) 744-6231. !]!i2 1,
1111111 J�oo� 771,wo A4 vJ
Serving Briei; Edmonds,
Lyinwood and Mountlake
Terrace
vvw%� Soullisnofire. oiN
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fa-x (425) 551-1272
LOCATION: 21006 72 nd Avenue W 98026
BUSINESS NAME: Cedar Creek Memory Care PHONE: 36086719(
MAILING
ADDRESS: 11 Market St NE #200, Olympia, Wa 98501
BUSINESS OWNER:Williams, Dan HOME PHONE:
EMERGENCY- I:wood,Jason HOME PHONE: 4253667746
KEY ACCESS-2: HOME PHONE: 16
EMAIL:
PERSON CONTACTEa.
NAmE OF INSPECTOR:
FIRE SYSTEMS: AS 9/17 FA 9/17 FE 5/18 UL300 2/18
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
[I BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREGUENCY STATION & SHIFT
Annual 16-B
SCHEDULED
DATE DUE 0 Jul 2019
LIFIR 1, 311 157
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
'R X121M
"---O2&t-3CATO-�i/COMMUNCATIONS
Nry
. . ....... . ............ . ..... . . . ........ . .
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2
3
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3
4
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5
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7
....................
. ............... �7_
. . .. ------
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
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) 775-772 ; foo I
,"QMountlake Terrace or Brier, call (425) 744-6231.