21601 78TH AVE W...... Z-1&61 -784h )qUe-o LJ
SNOHOMISH CO. ServingBric.,__._,jds,and - ]j425 Meridian Ave S
FIREMountlake Terrace Everett, WA 98208
DISTRiv, Phone (425) 551-1200
Twww.FireDistric'tl.org Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
[I MOUNTLAKE TERRACE
[I UNINCORPORATED
FREQUENCY
STATION 1, SHIF_*s
LOCATION:
21601 78 th Awnue W 9SU6
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20-D
BUSINESS NAME:
Chi lokm Ap�.
PHONE:
42,5778,970 SCHEDULED Aug 2014
III
DATE DUE
MAILING
LIFIR 111 423 1-%
ADDRESS:
21ED1 781h Avmuc W, Suftc A, Edrmndb, WA 0802L
BUSINESS OWNER:
Wefjrinh, (o-tfirrym
HOME PHONE:
EMERGENCY-1:
Wcqricch, Charge
HOME PHONE:
42577307F,7 CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY
YES NO
BUSINESS
F-] F]
EMAIL:
LICENSE
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INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
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1 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
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PERSON
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INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
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DATE:
3
VIOLATIONS
1 5
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PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
,4
8
4
8
DATE:
DISPOSITION:
LETTER NEEDED C] YES [I NO
I LETTER NEEDED F] YES El NO
1
8
FIRE DEPARTMENT COPY
SNOHOMISH CO.
FIRE
DIST:
Serving Brier, Edmonds
Mountlake Terrace,and
4
the Town of Woodway
www.FireDistrictl.org
LOCATION:
218,31 78th Ave W, Edmonds 98026
BUSINESS NAME:
Chikako Apts
MAILING
ADDRESS: 21601 78th Ave W#A, Edmonds, W.A
12425 Meridian Ave S
,Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
F�PE_
PHONE: 4257789767
FIRE PREVENTION
INSPECTION REPORT
JaEDMONDS
"nBRIER"
OWOODWAY
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY TATION & SHIFF**'
Annual 20-A
SCHEDULED
DATE DUE Aug
LIFIR � j
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BUSINESS OWNER: Wegrich, George HOME PHONE:
Email:
EMERGENCY-1 * Wegrich, r3eorge ROME PRONE 42577897iT7— e CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES. NO
BUSINESS
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PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: z_/ \ -t)
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1 st RE -INSPECTION
2nd RE -INSPECTION
'FINAL RE -INSPECTION
EXTENSION
VIOLAT ONS
DATE DUE
DATE DUE
GRANTED TO.
DATE DUE:
CITED
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
1 5
1 5
LETTER SENT
NUMBER:
4
CODE
5
2
6
2
6
DATE:
SECTION:
RETURN RECEIPT
3
7
3
7
RECEIVED
6
DISPOSITION:
7
4
.8
4
.8
DATE:
LETTER NEEDED [] YES NO
LETTER NEEDED 0 YES [:1 NO
8
FIRE DEPARTMENT COPY
HIML rKtvtN I 1UN
0 nd
s
Serving Brier, Edmonds
er' *an Ave S
'd'
12425 Meridian Ave S
12425 M
INSPECTION REPORI
SNOHOMI El CO.
EDMONDS
and
Mountlake Terraceand
FIRE'
v r A 9 8208
W
Everett, WA 98208
E e e
E3'BRIER
the Town of Woodway
Ctt
25 551 12 00
Phone (425) 551-1200
0 WOODWAY
[3 MOUNTLAKE TERRACE
__ST
T wwwFireDistrictLo
x 1_1
Fax (425) 551-1272
0 UNINCORPORATED
_T
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kw a
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FREQUENCY
STATION & SHIFT
LOCATION
21601 78th Ave W, Edmonds 9802
v
Annual
20-A
BUSINESS NAME: Chikako Apts
PHONE: 4257789767
SCHEDULED
DATE DUE I` Aug
MAILING
UFIR 800
ADDRESS: 21601 7&h Ave W#A. Edmonds, WA
BUSINESS OWNER: Wegrich, George
HOME PHONE:
Email:
EMERGENCY-1: Wegrich, George
HOME PHONE 4257789767
CURRENT
KEY ACCESS-2:
HOME PHONE:
ary YES NO
BUSINESS
LICENSE
PERSON CONTACTED: �J fcA2_k (_yA
INITIAL INSPECTION DATE
NAME OF INSPECTOR: Vo
FIRE SYSTEMS: FE \0 JO - e7�
P�, s'L
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS I
151EJL?—V LILL 1C-oZ 'F I ?-,F E-)(:-1
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2
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fjj NEXT30DAYS X
I AGREE TO CORRECT THE ABOVE VIOLATION' NJ
In our continuing effort to promote'.fire S. Af and prevention within # ity, your fire de ment conducts
wty PA
regularly scheduled "Fire Safety Survdy-'Wspections" of all businesses and mufti -family occupancies in the Cities
covered by Snohomish CounlyAWD1.6trict 1.
You are to be congratulated on the,, relative good condition of your occupancy in regards to.,fire safety.. Abov6you
will find the item(s) that were note&during our inspection which require attention totriingthern 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 re7inspection for Edmonds or the Town of Woodway, call (425)
775-7720; for Mountlake Terrace or . Brier, call (425) 754-0434.
BUSINESS COPY
A'!' IT
/;QI'3 4:06 PM Sales Receipt #11386
Store: I
Evergreen Fire and Safety Inc
3618 164th St SW
Lynnwood WA 98087
Item Name_-
t Price
Ext Price
AC ANNUAL CERTI�
1 -�5
5.75 T
5DC6 5LB DRY 6 YF
2 $15.90
$31-80 T
5DCH 5LB 12 YR H'
1 $25.75
$25.75 T
Subtotal:
$63.30
Local Sales Ta>
9.5 0/6 Tax:
+ $6.01
RECEIPT TOTAL: $69.31
Credit Card: $69.31
Visa
Thanks for shopping with us!
11386
f
Don Navarre
From: Wegrich, George L. (ESC) [WegrichG@edmonds.wed net. ed ul
Sent: Wednesday, October 20, 2010 5:01 PM
To: Don Navarre
Cc: GEORGE WEGRICH
Subject: RE: VERIFICATION OF UP TO DATE CERTIFICATION OF FIRE EXTINGUISHERS AT
CHIKAKO APARTMENTS
Attachments: CP20409-000-FIRE EXTINGUISHERS.pdf
Mr. D. Navarre
Please see attached copy of the certification tags o ex i guishers for our artments that we, had re -charged
1 2 1 601 -78th Aven u e est.
in the past few days. The address of the ChikE ko A ments� is 21601-78th Avenue West, Edmonds, Washington 98026.
is
t t 1
If you need anything else from us please do not hes�iita e ntact us at 1-425-778-T
Thank you very much, George Wegrich
DO NOT FOR CITY,
REMOVE STATE AND
By ORDER OF FIRE INSURANCE
FIRE CHIEF INSPECTION
'Evergot AM
grcun
Fire and Safety Inc.
TIl
-.164 ST S.W.
..Lyn.nwood 8087
- WA9
.(425):742
�12016)
368-3921
(800).765.'13E -SAFE
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iylQ.ED'B PATRICK SHAY
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2010�
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STATE AND
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2011 0,
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(0' '0) 7657BE SAFE
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Evc^rpmre
Fire and Safety Inc.
3618-164 THST. S.W.
Lynnwood, WA 98087
(425) 742-5661ti
zu
368-31^4 2 1
(800) 765-13E SAFE
LICENSE NO.
SERVICED BY PATRICK SHAy
SERVICED
�.�ECH�ARGED
V D I Y �FfOM'j15' - '' P ' UNCHED.
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DO 2010 � 2011 0
00 NOT FOR CITY,
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STATE AND
BY ORDER OF FIRE -INSURANCE
FIRE CHIEF INSPECTION.
Evergmen
Fire and Safetyllnc.
3618-164 T11 ST. S.W.
Lynnwood, WA 98087
(42 742-5660'
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n'6) 36on-3921
(800) 765-13E SAFE
LICENSE 140. SCP-S-7770 #0028
RIC
SERVICED BY
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