21319 84TH AVE WSNO
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2131q FIRE PREVENTION
INSPECTION REPORT
Serving dmonds 12425 Meridian Ave S
0 EDMONDS
Mountlake Terraceand Eviev-ett, WA 98208 0 BRIER
the Town of Woodway Phone (425) 551-1200 0 WOODWAY
0 MOUNTLAKE TERRACE
Twww.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED
LOCATION:
21319 84th Avenue
BUSINESS NAME:
Alston Apts
MAILING
210-10 Summit Lane
ADDRESS:
Edmonds
BUSINESS OWNER:
Alston, Gary & Theresa
EMERGENCY-1:
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
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DATE DUE 11' 06/01/12
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98026
HOMEPHONE:
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HOME PHONE:
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HOME PHONE:
CITY YES
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INITIAL INSPECTION DATE
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I AGREE TO CORRECTTHE 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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NUMBER:
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DATE
CODE
SECTION:
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RETURN RECEIPT
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DATE:
DISPOSITION:
7
LETTER NEEDED E] YES [3 NO
LETTER NEEDED E] YES [I NO
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FIRE DEPARTMENT COPY
FIRE PREVENTION
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Serving �rier, Edniohds
12425 Meridian Ave S
INSPECTION REPORT
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Mountkike Terrace, and
Everett, WA 98208
0 EDMONDS
0 BRIER
the Town of Woodway
Phone (425) 551-1200
E]WOODWAY
DISTTR
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0 MOUNTLAKE TERRACE
www.,FireDistrict].org
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
STATION & SHIFF"I
LOCATION:
21319 84th Avenue
W
366
16 5
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BUSINESS NAME:
Alston Apts
PHONE: 426776-1515
SCHEDULED
DATE DUE 0 06/01/11
MAILING
21010 Sum m ft Lane
UFIR 1, 422 6156
ADDRESS:
Edmonds
98026
BUSINESS OWNER:
Alston, Gary & Theresa
HOMEPHONE: 4257761515
ACTIVE
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HOMEPHONE: 2062295731
"'CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
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DATE DUE:
2nd RE -INSPECTION
DATE DUE:
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EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
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PERSON
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INSPECTOR:
INSPECTOR:
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2
DATE:
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VIOLATIONS
1 5
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LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION
5
3
7
3
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RETURN RECEIPT
RECEIVED
6
4
18
4
8
DATE:
1
DISPOSITION:
7
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FIRE DEPARTMENT COPY
FIRE PREVENTION
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CITY OF EDMONDS
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13USINESS NAME: Alston Apts PHONE: 42677611515
MAILING 21010 Summit Lane
AIJL)hto0: Edmonds 98026,
BUSINESS OWNER: Alston, Gary & Theresa HOMEPHONE: 4�57761515 ACT1VE
EMERGENCY-1: HOME PHONE:
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366
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SCHEDULED
DATE DUE 01 .06/01110
UFIR 01 422
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INITIAL INSPECTION DATE
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FIRE
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DATE DUE:
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DATE DUE:
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DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
COnC TED: 6-;
PERSON
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jNSPECTOR:
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2
DATE:
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DATE:
3
MOLATIONS
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LETTER SENT
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NUMBER:
4
2
6
2
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DATE:
CODE
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3
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RETURN RECEIPT
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1 4
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DATE
DIS SM0
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