223 3RD AVE S (2)"A
SNORON11SH CO.
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DISTR
33 Iq oel FIRE PREVENTION
Serving Brier, LA-4 and 12425 Meridian Ave S /cX INSPECTION REPORT
*-'-EDMONDS
Mwintlake Terrace Everett, WA 98208. 0 BRIER
Phone (425) 551-1200 El MOUNTLAKE TERRACE
[I UNINCORPORATED
www.FireDistrict].org Fax (425) 551-1272
FREQUENCY STATION & SHIFT
LOCATION: 223 3 rd Avenue S 98020 Annual' 17-D
BUSINESS NAME: 223 Bldg Apts PHONE: 4257747739 SCHEDULED Apr 2017
DATE DUE 0
MAILING LIFIR 0 422 202
ADDRESS: 223 3rd Avenue S, Edmonds, WA 98020
BUSINESS OWNER: Tom Tindall HOME PHONE:
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EMERGENCY-1: Kevin W-C—arthy HOME PHONE: 4253611241 CURRENT 110,Zf
KEY ACCESS-2: HOME PHONE: 17 CITY //Y.ES NO
BUSINESS
LICENSE —E]
EMAIL:
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
T, 9/51
Date Last Serviced:
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fat (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
[3 BRIER
[3 MOUNTLAKE TERRACE
[3 UNINCORPORATED
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LOCATION:
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BUSINESS NAME:
223 Bldg Apts
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SCHEDULED
DATE DUE I' Apr 2016
MAILING Iw- T; -94'a
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223 3rd Avenue S, Edmonds, WA 98020
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PERSON CONTACTED: '0At;' p.A r
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS: FE 6/14
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2
2
3
3
4
4
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
VIOLATIONS,-,'-
5
DATE:
3
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VIOLATIONS
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PRE -CITATION
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NUMBER:
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6
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CODE
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RETURN RECEIPT
RECEIVED
4
8
4
18
DATE:
DISPOSITION:
7
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�'LETTERNEEDED 0 YES []NO
LETTERNEEDED [:] YES [:]NO
FIRE.PREVENTION
Serving Briei; Edmonds, and
12425 Meridian Ave S
IINISPECTION REPORT
I
SNOHOMISH CO.
Mountlake Terrace
FIR
Everett, WA 98208 ----
_O g�LMONDS
OBRIER
DIS T www.FireDistrictl.org
Phone (425) 551-1200
Pax (425)' 551-12 72
0 MOUNTLAKE TERRACE
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LOCATION:
223 3 rd Avetwe S BM&
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17-A
BUSINESS NAME:
22313kfgApLb
PHONE:
42M47730
SCHEDULED
DATE DUE Abr 2014
MAILING
202
ADDRESS: 2M 3rd Awnuc S, bdrmndu. WA SSC20
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1 -. Mcl.Lcr, ftibdre
KEY ACCESS-2:
HOME PHONE: 4257732167
CURRE , NT YES N 0
CITY
EMAIL:
HOME PHONE:
BUSINESS
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LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: 4L
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HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
00 6' L a ;�y 61(
2
2
3
3
4
4
5
5
6
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO-
FINAL RE -INSPECTION
DATE DUE:
VIOLATIO�S
CITED:
PERSON
CONTACTED:
PERSON
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INSPECTC
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
4
8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED E] YES [_1 NO
LETTER NEEDED E] YES 0 NO
FIRE DEWITMENT COPY
FIRE PREVENTION
Serving Briei: Edinonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
"FIRE
Everett, WA 98208
0 EDMONDS
0 BRIER
the Town of Woodway
DIST R t4ft T.
Phone (425) 551-1200
0 WOODWAY
[1 MOUNTLAKE TERRACE
www.FireDistrict].org
Fay (425) 551-1272
0 UNINCORPORATED
223 3rd Avenue
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366
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LOCATION:
BUSINESS NAME: 223 Bldg Apts
PHONE: 4257747739
SCHEDULED
DATE DUE 0 04/01/12
MAILING POB #968
UFIR o 422 4202
ADDRESS: Edmonds
98020
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BUSINESS OWNER: Tindall, Tom/Sandra J.
HOME PHONE: 4257747739
AC-nVE
EMERGENCY-1: Hadfield, Joel
HOME PHONE: 4257758425
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
F1 F-1
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
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FIRE
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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:
IN-SPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
2
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
18
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES NO
LETTER NEEDED [] YES F-1 NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5� AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
LOCATION:
223 3rd Avenue
BUSINESS NAME:
223 Bldg Apts
MAILING
POB #968
ADDRESS:
Edmonds
BUSINESS OWNER:
Tindall, Tom/Sandra J.
EMERGENCY-1:
Hadfield, Joel
KEY ACCESS-2:
S
FIRE PREVENTION
SAFETY SURVEY
PHONE: 4257747739
98020
HOMEPHONE: 4257747739
HOMEPHONE: 4257758425
HOME PHONE:
FREQUENCY
STATION & SHIFT
366
17 A
SCHEDULED
DATE DUE I� 04/01/10
UFIR I� 422
4202
ACTIVE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: 0 c"10
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4
4
5
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6
6
7
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'Ist RE -INSPECTION
DATE DUE�
2nd RE -INSPECTION
DATE DUE.
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE.
\tIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
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PERSON
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INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE.
DATE.
3
VIOLATIONS
1 5
VIOLATIONS
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
7
4
18
4
8
DATE:
DISPOSITION:
8
� LETTER NEEDI
LETTER NEEDED E] YES NO
FIRE DEPARTMENT COPY