230 3RD AVE SZ3c) 99D YqL)ES FIRE PREVENTION
INSPECTION REPORT
SNOHOMISH CO. Serving Bri— )nds, and 12425 Meridian Ave S
[]EDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
FIRE Phone (425) 551-1200 El MOUNTLAKE TERRACE
DISTRT www.FireDi�trictl.org Fax (425) 551-1272 0 UNINCORPORATED
LOCATION
BUSINESS NAME:
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230 3 rd Avenue S 98020
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230 3rd Avenue S, EdmondS, WA, 98020
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FREQUENCY STATION& SHIFT
Annual 1 1 7-A
SCHEDULED Feb 2014
DATE DUE 0
UFIR425 202
EMERGENCY-1: Kennedv, Catheidne HOME PHONE: 2060639866 CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
EMAIL: BUSINESS 0 ED
LICENSE
PERSON CONTACTED: INITIAL INSPECTION DATE
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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
GRANTED TO:
FIN �VRE-INSPECTION
DATE DUE:
VIOLATIONS
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JPERSON
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NUMBER:
4
2
6
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DATE:
CODE
SECTION:
5
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RETURN RECEIPT
RECEIVED
6
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8
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES No
LETTER NEEDED E] YES El NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
INSPECTION REPORT
SNOHOM18h CO. Se'r'v'ihg gr'ier, '.kidnionds 1 Meridian'Ave S" OEDMONDS
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OF. Mountlake Terrace, and Everett, WA 98208 0 BRIER
,FIRE Ile Town of Woodway Phohe (425) 551-1200 0 WOODWAY
0 MOUNTLAKE TERRACE
DIST Rit T www.FireDistrict].org Fax (425) 551-1272 0 UNINCORPORATED
FREQUENCY 7TION & SHIFT7)
LOCATION: 230 3rd Avenue S 365 17 C
BUSINESS NAME: Alder Apts PHONE: 2069639366 SCHEDULED OZ101/12
DATE DUE 0
MAILING P *0 Box 77303 LIFIR 1, 425 2202
ADDRESS: Seattle 98177
BUSINESS OWNER: Kennedy, Catherine H ME PHONE: 2069639866
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EMERGENCY-1: HOME PHONE: eCURRENT
KEY ACCESS-2:� HOME PHONE:, CITY YES NO
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LICENSE 1:1 0
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NAME OF INSPECTOR:
FIRE
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HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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196REE TO CORRECT THE ABOVE VIOLA-TION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2rid RE -INSPECTION
DATE DUE.
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
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VIOLATIONS
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LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
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DATE:
CODE
SECTION:
5
3
7
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RETURN RECEIPT
RECEIVED
6
4 18
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED C] YES NO
LETTER NEEDED E] YES [I NO
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
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LOCATION: 230 3rd Avenue S
BUSINESS NAME: Alder Apts
MAILING PO Box 7.7308
D 6 Rii��. Seattle
BUSINESS OWNER: Kennedy, Cathennei�
EMERGENCY-1:
KEY ACCESS-2:
FIRE PREVENTION
SAFETY SURVEY
PHONE: 2069639866
98177
20696q9866
HOME P.HONIE.
HOME PHONE:
HOME PHONE:
FREQUENCY ION& SHIFT
365 1 7 A
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SCHEDULED
DATE DUE 11' OZ/01/10
UFIR 425 2202
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PERSON CONTACTED: Ajan �' INII IAL INSPECTION DATE
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SYSTEMS: ANNUAL
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2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
GRANTED TO:
,
CITED:
DATE DUE:
DATE DUE:
DATE DUE:
PERSON
PERSON
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INSPECTOR:
INSPECTOR:
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2
DATE,
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DATE* DATE,--'
VIOLATIONS VIOLATIONS
PRE -CITATION
CITATION ISSUED
1
1
5
LETTER SENT
NUMBER:
4
CODE
2 6
2
DATE:
SECTION:
5
RETURN RECEIPT
6
3 7
7
RECEIVED
DISPOSITION:
7
4 18
4
8
DATE
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LETTER NEEDED E] YES NO
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LETTER NEEDED [] YES 0 NO
FIRE DEPARTMENT COPY