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FIRE PREVENTION
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FIRE DEPARTMENT COPY
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FIRE DEPARTMENT COPY
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Serving Brier, Edinonds
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1� LOCATION:' 21527 73rd Place W
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12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
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98125
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NUMBER:
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2
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FIRE DEPARTMENT COPY
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Serving B. 7101lds, and
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20814 74th Avenue VV Edmonds, WA 98026
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FIRE DEPARTMENT COPY
Serving Brier, Edmonds
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'w`ww.FireDistrict1.org
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Carribre, Winston C.
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FIRE
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w
12425 Meridian Ave S
Everett, WA 98208
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FIRE DEPARTMENT COPY
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12425 Meridian Ave S
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BUSINESS OWNER: Cambre, Winston C.
HOME PHONE: 2065338983
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DATE DUE:
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DIsP6SITION:
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8
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FIRE PREVENTION
Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
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0 EDMONDS
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Everett, WA 98208
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W
366
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PHONE: 2065338983
SCHEDULED
DATE DUE 11' 05/01/11
MAILING
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UFIR
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BUSINESS OWNER: Cambre, Winston C.
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2
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6
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DATE:
DISPOSITION:
7
LETTER NEEDED F] YES NO
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FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASH ING-L6�, 98020 - (425) 771-0215
FIRE DEPARTMENT
4t� t
LOCATION: 20814 74th Avenue
BUSINESS NAME: Perfect Apts
MAILING 17636 6th Ave NE
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SAFETY SURVEY
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ADDRESS: Shoreline 98177
BUSINESS OWNER: Cambre, Winston C. HOMEPHONE: 2065338983
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366 16 C
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CITATION ISSUED
NUMBER:
4
2
6
2
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DATE:
CODE
SECTION:
5
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7
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RETURN RECEIPT
RECEIVED
6
7
18
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DISPOSITION:
8
LETTER NEEDED 0 YES NO
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FIRE DEPARTMENT COPY
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FIN
I k—J A JLI&JL%o A www.FireDistrictl.org Fax (425) 551-1272
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Serving Brio: ' L.. and 12425 MeridianAve S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
20816 74 th Avenue W 98020
LOCATION:
Casa- De Quatro
BUSINESS NAME:
MAILING
20816 74th Avenue INL, Edmonds, 'NAIA, 98026
ADDRESS:
BUSINESS OWNER:
Ngo, Quan Hoan
EMERGENCY-1:
KEY ACCES�S-2:
EMAIL:
PERSON CONTACTED:
2068605121
PHONE:
HOME PHONE:
2066605121
HOME PHONE:
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FIRE PREVENTION
INSPECTION REPORT
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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
14
.8
4
DATE:
DISPOSITION:
7
LETTER NEEDED [-] YES El NO
.8
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FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Brier Edmonds
12425 Meridian Ave S
INSPECTION REPORT
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Mountlake Terraceand
FIRE
Everett, WA 98208
DEDMONDS
0 BRIER
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IM
Phone (425) 551-1200
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BUSINESS NAME: Casa De Quatro
PHONE: 2068605121
SCHEDULED 04-5/01/13
DATE DUE
MAILING 1911 20Th Av S #13
LIFIR 1,, 422 5207
ADDRESS: Seattle
98144
BUSINESS OWNER: "Ngo, Quan Hoan"
HOMEPHONE: 2068605121
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EXTENSION
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INSPECTOR:
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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
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RETURN RECEIPT
RECEIVED
6
4
8
4
8
ANO
DATE:
DISPOSITION:
LETTER NEEDED [] Y�ES No
rL ETTER NEEDED C] Y:E:S:O
8
FIRE DEPARTMENT COPY
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Serving Brier, Edmonds
Mountlake Terrace,and
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www.FireDistrictl.org
LOCATION: 20816 74th Avenue
BUSINESS NAME: Casa De Quatro
MAILING 1911 20Th Av S #B
ADDRESS: Seaftle
BUSINESS OWNER: Ngo, Quan Hoanu
EMERGENCY-1:
KEY ACCESS-2:
PERSON CONTACTED
NAME OF INSPECTOR
FIRE
SYSTEMS:
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fav (425) 551-1272
PHONE: 2068605121
98144
HOMEPHONE: 2068605121
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HOME PHONE:
FIRE PREVENTION
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7
N�
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:
I
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
D TE:
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 E] YES [I NO
LETTER NEEDED E] YES [I NO
1
1
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
1215THAVENLIEN. - EDMONDS, WASHINGTON 98020 - (425)771-0215
FIRE DEPARTMENT
t 8 9 Q1
LOCATION: 20816 74th Avenue
BUSINESS NAME: Casa De Qualro
MAILING 1911 20Th Av S #13
ADDRESS: Seattle
BUSINESS OWNER: "Ngo, Quan Hoan"
EMERGENCY- 1:
KEY ACCESS-2:
M
FIRE PREVENTION
SAFETY SURVEY
PHONE: 2068605121
98144
HOMEPHONE: 2068605121
HOME PHONE:
HOME PHONE:
FREQUENCY
STATION & SHIFT-"
365
16 C
I
SCHEDULED
DATE DUE 0 05101/10
LIFIR 0 422
5207
ACTIVE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: I�L
FIRE FE
_,:2
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE 1�
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
11st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
E DUE:
PERSON
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
CONTACTED:
NTACTED:
INSPECTOR:
DATE:
VIOLATIONS
CONTACTED:
INSPECTOR:
2
INSPECTOR:
DATE:
DATE:
3
VIOLATIONS
PRE -CITATION CITATION ISSUED
1 5
_5
2 6
LETTER SENT______
NUMBER:
4
2
6
CODE
DATE: SE CTION:
RETURN RECEIPT
5
6
3
7
3 7
RECEIVED
DISPOSITION:
7
4
18
4 18
LETTER NEEDED E] YES NO
DATE:
8
I,, LETTER NEEDED E] YES NO
FIRE DEPARTMENT COPY