217 5TH AVE N (2).f.t "'�
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.Serving Brier, Edmonds,, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-120 0
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FIRE PREVENTION
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Temple, Anne
HOME PHONE: 4256974216
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INITIAL INSPECTION DATE
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DATE DUE:
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12425 Meridian Ave S
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DATE DUE:
EXTENSION
GRANTEDTO:
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NUMBER:
4
2
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CODE
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DATE:
DISPOSITION:
7
LETTER NEEDED El YES El NO
LETTER NEEDED [] YES NO
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FIRE DEPARTMENT COPY
FIRE PREVENTION
M Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
FIRE Mountlake Terraceand
Everett, WA 98208
DEDMONDS
0 BRIER
the Town of Woodway
DIST R T
Phone (425) 551-1200
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LOCATION: 217 5th Avenue
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366
17 A
BUSINESS NAME: Seville Condos
PHONE: 4257741425
SCHEDULED
DATE DUE 1` 04/01/13
MAILING 217 5th Ave N Unit 6
UFIR � 422 4203
ADDRESS: Edmonds
98020
BUSINESS OWNER: Temple, Anne'
HOMEPHONE: 4256974216
ACTIVE
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HOME PHONE:
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SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS 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:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
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1 5
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LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED F] YES El NO
LETTER'NEEDED [-] YES NO
8
FIRE DEPARTMENT COPY
C1W OF EDMONDS*
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
4j' t
LOCATION: 217 5th Avenue N
FIRE PREVENTION
SAFETY SURVEY
BUSINESS NAME: Seville Condos PHONE: 42577-41425
MAILING 217 5th Ave N Unit 6
ADDRESS: Edmonds 98020
BUSINESS OWNER: Temple..�Inne HOMEPHONE: 4256974216
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE:
FREQUENCY ION & SHIF�
366' 17 C
SCHEDULED
DATE DUE I� 04/01/11
LIFIR 11 422 4203
ACTIVE
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ENTER CODE ONLY ONCE 1�
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3
4
5
6
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8
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11st RE -INSPECTION
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1 5
3
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1 5
4
2
6
2
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CODE
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5
3
7
3
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RETURN RECEIPT
RECEIVED I
DISPOSITION:
DATE:
6
7
8
4
8
4 18
LETTER NEEDED F_ YES NO
LETTER NEEDED D YES No
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121'5-AVENUEN. - EDMONDS, WASHINGTON 98020 - (425)771-0215
FIRE DEPARTMENT
4's t. 1 9 0
LOCATION: 217 5th Avenue N
BUSINESS NAME: Seville Condos
MAILING 217 5th Ave N Und 6
FIR E PREVENTION
SAFETY SURVEY
PHONE: 4257741425
ADDRESS:
Edmonds 98020
BUSINESS OWNER: Temple, Anne HOMEPHONE: 4256974216
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE:
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sTArION &SHIFT
366
17 6
SCHEDULED
DATE DUE 11'
04/01/10
LIFIR I� 422
4203
ACTIVE
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2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
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1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
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1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
RETURN RECEIPT
RECEIVED
6
7
4
18
8
IDATE;
DISPOSITION:
-1
8
�LETTERNEEDED [:] YES N
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LETTERNEEDED [:] YES NO
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FIRE DEPARTMENT COPY