275 4TH AVE SZ75- H-k, 1,ielC _r
SNOHOMISH CO. Serving Brier, t -.j 12425 Meridian Ave S
F I R E Mountlake Terrace,and Everett, WA 98208
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the Town of Woodway Phone (425) 551-1200
DISTIMILuT www.FireDistrict].org Fax (425) 551-1272
LOCATION: 275 4th Avenue S
BUSINESS NAME: Hanson Four-Plex PHONE:
MAILING 275 4th Ave S
ADDRESS: Edmonds 98020
BUSINESS OWNER: Petschl, Joe & Lisa HOME PHONE:
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
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FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY I STATION & SHIFF)
365 17 6
SCHEDULED
DATE DUE � 04/01/13
UFIR � 422 4202
ACTIVE
CURRENT
CITY YES NO
BUSINESS Ej
LICENSE
INITIAL INSPECTION DATE
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HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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DATE DUE:
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DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
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PERSON
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LETTER SENT
CITATION ISSUED
NUMBER:
4
2
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DATE:
CODE
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5
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RETURN RECEIPT
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DATE:
DISPOSITION:
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LETTER NEEDED C] YES NO
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1 FIRE DEPARTMENT COPY
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Servihg Briet: Edinonds
�SNOHOMISH CO
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Mouhilake Terraceand
DIST R.,
the Tqwn of Woodway
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www.FireDistrictl.org
LOCATION: 275 4th Avenue
BUSINESS NAME:
Hanson Four-Plex
MAILING
275 4th Ave S
ADDRESS:
Edmonds
BUSINESS OWNER:
Petschl, Joe & Liss
EMERGENCY-1:
KEY ACCESS-2:
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PERSON CONTACTED
NAME OF INSPECTOR
FIRE
SYSTEMS:
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FIRE PREVENTION
12425 Meridian Ave S INSPECTION REPORT
0 EDMONDS
Everett, WA 98208 0 BRIER
Phone (425) 551-1200 E]WOODWAY
[I MOUNTLAKE TERRACE
Fax (425) 551-1272 0 UNINCORPORATED
PHONE: 4257743590
98020
HOME PHONE: 4257750577
HOME PHONE:
HOME PHONE: —
I` FREQUENCY
STATION & SHIFT"�
365
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SCHEDULED
04/01/12
DATE DUE �
UFIR 11, 422
4202
ACTIVE
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INITIAL INSPECTION DATE
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EXTENSION
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VIOLATIONS
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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
18
4
18
DATE:
DISPOSITION:
7
\1 LETTER NEEDED [] YES NO
I LETTER NEEDED [] YES NO
FIRE DEPARTMENT COPY
FIRE PREVENTION
CITY OF EDMONDS SAFETY SURVEY
121 5� ENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIR DEPARTMENT
275 4th Avenue S
LOCATION:
BUSINESS NAME: Hanson Four-Plex
275 4th Ave S
MAILING
4257743590
PHONE:
ADDRESS: Edmonds 98020
BUSINESS OWNER: Petschl, Joe & Lisa HOME PHONE: 4257750577
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE:
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VIOLATION CODE
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8
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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:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
ciTATON ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
-18
4
8
DATE:
DISPOSITION:
�LETTERNEEDED 0 YES NO
LETTER NEEDED [] YES NO
FIRE DEPARTMENT COPY