311 EDMONDS ST STE BFIRE PREVENTION
Serving Briei: Edmo) 12425 Meridian Ave S NSPECTION REPORT
SNOHOMISH CO. 1 11 OEDMONDS
Mountlake Terrace Everett, WA 98208 - 0 BRIER
FIRE Phone (425) 551-1200 0 MOUNTLAKE TERRACE
DISTRvoot 14,14,wFireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED
i r FREQUENCY I STATION & SHFFT)
LOCATION: 311 Ednmnds Street Suite B, 93fj2b
BUSINESS NAME: 311 ApLs PHONE: 4 257 7
MAILING
ADDRESS: 1027 213Lh PI SVIJ, Lyrtnvmad, VJA 03021F,
BUSINESS OWNER: Wilm)am, Er\A HOME PHONE:
EMERGENCY-1:,, HOME PHONE: CURRENT YES NO
KEY ACCESS-2: HOME PHONE: CITY
BUSINESS
EMAIL: LICENSE
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR:
�-IRE SYS IEMS: FE.. L(
HAZARDS FOUND AND LOCATIONS C) TMUNICUNS
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2
2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
lst RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
I
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 15
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
7
RETURN RECEIPT
RECEIVED
6
4
18
_3
4
8
DATE:
DISPOSITION:
LETTER NEEDED E3 YES El NO
LETTER NEEDED E] YES NO
FIRE DEPARTMENT COPY
SNO
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Serving Briei; Edinonds
Mountlake Terrace, and
the Town of Woodway
4
www.FireDistrict].org
LOCATION: 311 Edmonds Street
BUSINESS NAME: 311 Apts
MAILING 1027 213th PI SW
ADDRESS: Alderwood Manor
BUSINESS OWNER: Wilcoxon, Robert Partner"'
EMERGENCY-1: Wilcoxon, ErOng Partner'
KEY ACCESS-2,.,
PERSON CONTACTED
NAME OF INSPECTOR:
FIRE
SYSTEMS:
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fa)I;,,-(425) 551-1272
B
PHONE: 4257767768
98036
HOME PHONE: 4257767768
HOME PHONE: 4257767768
HOIE PHONE:
FIRE PREVENTION
INSPECTION REPORT
OEDIVIONDS
El BRIER
El WOODWAY
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY STATION & SHIFT
365 17 6
SCHEDULED
DATE DUE � 09/01111
LIFIR � 422 9203
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE El 1:1
INITIAL INSPECTION DATE
zt�_ -Z6
FE /Q I / 0
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
AM 0/i
2
2
3-
3
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4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS; X
I st 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:
INSPECTOR:
INSPECTOR:
2
DATE:
D TE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
I 8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED E] YES F-1 NO
:,�ETTER NEEDED [I YES NO
8
FIRE DEPARTMENT COPY