21325 76TH AVE W (2)A' -4
SNOHOMISH Co.
2- 13 Z 5* -7 (a +h P L) e--
Serving Brier, P-amonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208 -
Phone (425) 551-1200
JLPJLk-'J.L AMMI A www.FireDistrictl.org Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
ffEDMONDS
BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION: 21325 76 th Avenue W 98026
Annual
16-A
BUSINESS NAME: Stratford Square Condos (21327,29)
PHONE:
4254891222
SCHEDULED Oct 2016
DATE DUE �
425157
MAILING
UFIR �
ADDRESS: 21325 76th Avenue W, Edmonds, WA 98026
BUSINESS OWNER: Allen,Jean
HOME PHONE:
EMERGENCY-1: Luan Johnson
HOME PHONE:
4256728919
"CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY
YES NO
BUSINESS
F_�
PI;Z;r
EMAIL:
LICENSE
I I
PERSON CONTACTED: lile.7,AIC-
INITIAL INSPECTION DATE
NAME OF INSPECTOR: ZL
aj,5c
FIRE SYSTEMS: FE T15
Date La st Serviced: P//4
FHAZARDS' FOUND AND LOCATIONS / COMMUNICATIONS 4J
-7
&_7
1 )C 9 Z/ 3 -Z, 7
. 1 17,06ORMIL I-Ti-06
2
3
4
5
6
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1
2
3
4
5
6
7
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.
7-1 3ZS
FIRE PREVENTION
Serving Brier Edl, onds, and
12425 Meridian Ave S
INSPECTION REPORT
SNORONI I SH Co.
Mountlake Terrace';
FIRE
Everett, WA 98,1208
EDMONDS
0 BRIER
DISTiikrT.
Phone (425) 551-1200
OMOUNTLAKE TERRACE
[I UNINCORPORATED
www.FireDistrictl��'�k'
Fax (425) 551�1272
21325 76 th Avenue W 98026
FREQUENCY STATION & SHIFT
Annual 16-A
LOCATION:
Stratford Square Condos (21327,29)
BUSINESS NAME:
4254891222
PHONE:
SCHEDULED Oct 2016
II'
DATE DUE
'N-A.
425157
MAILING 21325 76th Avenue W, Edmonds, WA 98026
ADDRESS:
UFIR
BUS� I NESS OWNER: Allen,Jean
HOME PHONE:
Luan Johnson
EMERGENCY-1:
4256728919
HOME PHONE:
CURRENT
KEY ACCESS-2:
EMAIL:
HOME PHONE:
CITY YES NO
BUSINESS F__j
LICENSE
PERSON CONTACTED: Alalv&:_
INITIAL INSPECTION DATE
NAME OF INSPECTOR: �6-7;6C., A/c C t' /S
FIRE SYSTEWS-.FE 8/15
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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2 2
3
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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
2nd RE -INSPECTION
FINAL RE -INSPECTION
EXTENSION VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE: CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
INSPECTOR:
INSPECTOR:
2
INSPECTOR:
DATE:
DATE,
3
1 DATE:
VIOLATIONS
VIOLATIONS
CITATION ISSUED
PRE CITATION
1 �5
.5
s : 4
LETTER SENT NUMBER,
CODE 5
2 6
2 6
DATE. SECTION.
RETURN RECEIPT
3 �7
3 7
RECEIVED 6
DISPOSITION
7
4
4 8
DATE,
LETTER NEEDED E] YES [I NO
LETTER NEEDED [] YES NO
8
Ser viing'Brier, Edmonds, and
Mountlake Terrace
0 01 LU A "L%0 Jkll. www.FireDistrictl.org
LOCATION: 21325 76 th Avenue W�48026
BUSINESS NAME: Stratford Square Condos (21327,29)
MAILING
ADDRESS: 21325 76th Avenue W, Edmonds, WA 98026
BUSINESS OWNER: Allen,Jean
.EMERGENCY-1: Luan Johnson
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR: VJ Li
FIRE SYSTEMS: FE 8/14
n.qtp I ;i.qt Sprvinpri-
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4254891222
HOME PHONE:
HOME PHONE: 4256728919
HOME PHONE:
f
FIR E PREVENTION
INSPECTION REPORT
DEDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
-REQUENCY STATION & SHIFT
knnual 16-D
AEDULED
'EDUE �Oct2015
R 0 425 157
CURRENT
CITY
YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
lb- 11-.
7-01-5
HAZARDS FOUND AND LOCATIONS COMMONICATIONS
0, D LA
710
2 /AJ
12_�
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO cbRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
LONT �TED:
CONTACTED:
CONTACTED:
I
INSPECTOR:
2
INSPECTOR:
INSPECTOR:
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS:-..
PRE -CITATION
CITATION ISSUED
1 5
LETTER SENT
NUMBER:
4
CODE
5
2 6
2
6
DATE:
SECTION:
RETURN RECEIPT
3
7
3
7
RECEIVED
6
DISPOSITION:
qALE:,
7
LETTERNEEDED F] YES Ej NO
LETTERNEEDED [] YES
ONO
8
4;
SNOHOMISH CO.
vs
FIRE PREVENTION
12425 AleridianAve S INSPECTION REPORT
0 EDMONDS
Everet�,, WA 98208 0 BRIER
Phone (425) 551-1200 [1 MOUNTLAKE TERRACE
0 UNINCORPORATED
Fax (425) 551-1272
FREQUENCY STATION & SHIFF_'�
LOCATION: 21325) 76 th A-uenue W OW26 Atmuai 16-C
SCHEDULED
BUSINESS NAME: SLrallard Squarc Candimi (21327,20) PHONE: 425440,9122' CjGt 2014
DATE DUE
MAILING UFIR � 42;S 1,.�7
ADDRESS: 21325 7EIli AvcriucvV, EdminridE, 38f)2fj
BUSINESS OWNER: Allen, JeAtv HOME PHONE:
EMERGENCY-1: Luan Jahroban HOME PHONE: 42CE7,2,qrjl 0
KEY ACCESS-2: HOME PHONE:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR: cl
F I R L SYS I I= Mc-',: FE
S�rving Briei: Edmonds, �atid
Mountlake Terrace
wu�w FireDistrict]. org
CURRENT
CITY YES NO
BUSINESS
LICENSE El El
INITIAL INSPECTION DATE
I I — / --) — / q
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
NON
2
2
3
3
4
5
4
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
lst RE -INSPECTION
DATE DUE:
I
2nd RE -INSPECTION
DATE DUE:
I
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
C NTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
D E:
PRE -CITATION
LETTER SENT
DATE:
CITATION ISSUED
NUMBER:
3
4
VIOLATIONS
1 5
VIOLATIONS.
1 5
2
6
2 6
DATE:
CODE
SECTION:
5
7
3 7
RETURN RECEIPT
RECEIVED
6
4
8
4 8
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES El NO
I LETTER NEEDED [] YES NO
1
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Briei: Edmonds, and
12425 : MeridianAv I e S
INSPECTION REPORT
SNO&OMISH CO
FIR
Mountlake Terrace
Everett, WA 98208
OEDMONDS
OBRIER '
Phone (425) 551-1200
El MOUNTLAKE TERRACE
DISTR;,
[1 UNINCORPORATED
wivwFireDistrictl.org
Fay (425) 551-1272
FREQUENCY
STATION & SHIF"**'
LOCATION:
21325 7- -,V(, W 98026
Annual
16-13
BUSINESS NAME:
Stratfort, iarL- N:oncl— (21327,213)
PHONE: 254( 2222
SCHEDULED
DATE DUE I` Oct 2013
MAILING
LIFIR 1, 425
ADDRESS:
21325 76th Avent�e W, Edmonds, WA 9 26
BUSINESS OWNER:
Al.en, Jel"
HOME PHONE:
EMERGENCY-1:
Lu� Jbhnson
HOME PHONE: #42516
�LJIC U R IR E NT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
EMAIL:
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
VJ)— A'
FIRE SYS�EMS:
FE
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
12
2
3
3
4
4
5
5
6
6
7
7
JAGREE 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:
I
INSPECTOR:
INSPECTOR:
IN I S . RECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
2 6
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
DATE:
CODE
SECTION:
5
3
7
3 7
RETURN RECEIPT
RECEIVED
6
4
18
.8
DATE:
DISPOSITION:
7
LETTER NEEDED C] YES N
LETTER NEEDED E] YES [I NO
8
FIRE DEPARTMENT COPY
SNOHOMISH CO. Serving Brier, Edmonds
RIVEN Mountlake Terraceand
FIRE,
tWT www.FireDistrictl.org
''DIST 1 1 the Town of Woodway
LOCATION: 21325 76th Avenue W
BUSINESS NAME: Stratford Square Condos (21327,29)
MAILING 21325 76th Ave * #11
ADDRESS: Edmonds 98026
12425 Meridian Ave S
-Everett, WA 98208
Phonle (425) 551-1200
Fax (425) 551-1272
PHONE: 4254391222
FIRE PREVENTION
INSPECTION REPORT
MEDMONDS
BRIER
EIWOODWAY
[I MOUNTLAKE TERRACE
[I UNINCORPORATED
lUENCY
65
I STATION & SHIFTN
16 A
JILED
UE 0
425
11157
BUSINESS OWNER: Luan Johnson HOMEPHONE: 4256728919 AC71VE
"Allen,Jean" 4254891222 CUR -RENT
EMERGENCY-1: HOME PHONE:
CITY YES Il
KEY ACCESS-2: HOME PHONE: 0
BUSINESS 0
LICENSE D
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE FE
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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:
INSPiCTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
'.VIOLATIONS
1 5
VIOLATIONS
5
PRE -CITATION
LETTER SENT
CITATIOWSSUED
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 C] YES Cl NO
L
rETTER NEEDED 0 YES El NO
FIRE DEPARTMENT
COPY
Serving riet; Edinonds
,SNOHOMISH CO.
I Mountlake Terraceand
FIREi *4
I the T6wn of'Woodway
DISThk'T www.FireDistrictl.org
LOCATION: 21325 76th Avenue
1,j BUSINESS NAME: Stratford Square Condos (21327,29)
MAILING 21325 76th Ave W #11
ADDRESS: Edmonds
BUSINESS OWNER: Luan Johnson
EMERGENCY-1: "Allen, Jean"
KEY ACCESS-2:
PERSON CONTACTED:.
NAME OF INSPECTOR: CIA UM c f-2
FIRE
SYSTEMS:
M
12425 Meridian Ave S
Everett, WA 98208 --
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4254891222
98026
HOME PHONE: 4256728919
1
HOME PHONE: 4254891222
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY STATION & SHIF7
365 16 D
SCHEDULED
DATE DUE 0 10/01/11 -
UFIR 0 425 1(157
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
FE�_71Z
AN�UAL*
HAZARDS FOUND AND LOCATIONS,/
0
COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
7
7
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
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
14
18
14
8
DATE:
DISPOSITION:
7
LETTER NEEDED E] YES El No
I LETTER NEEDED,[:] YES NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5TH,AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
21325 76th Avenue
LOCATION:
BUSINESS NAME: Stratford Square Condos (21327,29)
MAILING 21325 76th Ave W #11
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4254391222
ADDRESS: Edmonds 98026
BUSINESS OWNER: Luan Johnson HOME PHONE: 4256728919
EMERGENCY-1: "Allen,Jeen" HOME PHONE: 4254891222
KEY ACCESS-2: HOME PHONE:
" FR %V& NCY
I STATF4 & EHIFT
SCHEDULED
10/01/10
DATE DUE 01
LIFIR 0. 425
1(157
ACTIVE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE FI=
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
ENTER CODE ONLY ONCE I�
VIOLATION CODE
..2
2
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 5
VIOLATIONS
1 5
PRE-CRATION
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
18
DATE-
DISPOSITION:
8
�, LETTER NEEDED E] YES E] N
t�TTER NEEDED E] YES NO
FIRE DEPARTMENT COPY