314 3RD AVE S (2)A I -Ir- T
,", � I
Serving Brier, Edmonas, and 12425 MeridianAve S
SNOHOMISH CO.
Mozintlake Terrace Everett, WA 98208
F1
DPhone (425) 551-1200
1160 A T www.FireDistrictl.org Fax (425) 551-1272
'FIRE -PREVENTION
INSPECTION REPORT
ODMONDS
0 BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
F ENfY STAJI?
_t SH
314 3 rd Avenue S 98020 ffnQnu a
LOCATION: I
BUSINESS NAME: Shoreview Apts 2066332929 SCHEDULED A r 2017
PHONE: DATE DUE 0
423 202
MAILING POB 31666, Seattle, WA 98103 UFIR
ADDRESS:
Leaf, Fred
BUSINESS OWNER: HOME PHONE:
Leaf, Fred 2066332929
EMERGENCY-1: HOME PHONE: 17 U
I �RRENT
KEY ACCESS-2: HOME PHONE: YES NO
USI
r�B NESS
EMAIL: LICENSE _Q
PERSON CONTACTED: INITIAL INSPECTION DATE
NAME OF INSPECTOR: (7 Ll
CU _V
Date Last S erviced: 51 J�
5 i
Serving Brier, Edmonds, and
Mountlake T�rrace
www.FireDistrictl.org
LOCATION:
314 3 rd Avenue S 98020
BUSINESS NAME: Shoreview Apts
MAILING
ADDRESS:
POB 31666, Seattle, WA 98103
BUSINESS OWNER:
Leaf, Fred
.EMERGENCY-1:
Leaf, Fred
KEY ACCESS-2:
EMAIL:
01 PERSON CONTACTED:
NAME OF INSPECTOR: MW
FIRE SYSTEMS: FE
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Far (425) 551-1272
PHONE: 2066332929
HOME PHONE:
HOME PHONE:
HOMEPHONE: 2066332929
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
(3 UNINCORPORATED
FREQUENCY STATION & SHIFT
'0
Annual _717C
SCHEDULED
DATE DUE � Apr 2016
UFIR � 423202
CURRENT
CITY YES NO
BUSINESS F1
LICENSE . I I E]
INITIAL INSPECTION DATE
-f k. / (,�
RM0!P900)ft4b7A
D ATIONS COMMUNICATIONS
2
2
N\J\j
3
Lj
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fire Safety Survey Inspectione of all.businesses and multi -family occupancies in the Cities
covered by Snohomish County Fire District 1.
�\bve you
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Ab
will find the item(s) that were noted during. our inspection which require attention to bring them into complia' ce
w ith the minimum standards adopted by the above jurisdictions.
Any overlooked hazards or violations of the fire regulations does not imply approval of suchconditionsorviol�ation.
If you require additional information or to schedule a re -inspection for. Edmonds, call (425) 775-7720; for
Mountlake Terrace or Brier, call (425)744-6231.
1�
7
f/ FIREPREVENTION
CITY OF EDMONDS SAFETY SURVEY
'ENUEN. - EDMONDS, WASHINGTON 98020 (425)771-0215
FIRE DEPARTMENT
4�'
LOCATION: 314 3rd Avenue S
13USINESS NAME: Shoreview Apts PHONE: 2066332929
MAILING PO Box 31666
ADDRESS:
Seattle 98103
FREQUENCY I STATION 1, SHIFT
366 17 B
SCHEDULED
DATE DUE I� 04,101/11
LIFIR o� 423 4202
BUSINESS OWNER: Leaf, Fred HOMEPHONE: 2066332929 ACTIVE
EMERGENCY-1: Same HOMEPHONE: 2066332929
KEY ACCESS-2: Leaf, Tracey HOMEPHONE: 2068632947
e INITIAL INSPECTION DATE
PERSON CONTACTIED: A,4 A
NAME OF INSPECTOR: lad
FIRE FE:3 /kL
SYSTEMS: ANNUAL
HAZARDS FOUND ANDtOCATIONS / COM'
'j
UNIIATIONS
ENTER CODE ONLY, ONCE 10
VIOLATION CODE
2
2
3
4
5
5'-
6
6
7
7
8
8
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:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
2
6
DATE:
CODE
SECTION:
5
3
7
7
RETURN RECEIPT
RECEIVED
6
7
4
.8
4
8
DATE:
DISPOSITION:
8
k, LETTER NEEDED [] YES E] N7
LETTER NEEDED ] YES Fj NO
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
LOCATION: 314 3rd Avenue S
BUSINESS NAME: Shoreview Apts
MAILING PO Box 31666
FIRE PREVENTION
SAFETY SURVEY
PHONE: 2066332929
ADDRESS: Seattle 98103
BUSINESS OWNER: Leaf, Fred HOMEPHONE: 2066332929
EMERGENCY-1: Same HOMEPHONE: 2066332929
KEY ACCESS-2: Leaf, Tracey HOMEPHONE: 2068632947
FREQUENCY
STATION& SHIFT
17 A
SCHEDULED
DATE DUE 0'
04/01/10
UFIR 0 423
4202
.ACTIVE
INITIAL INSPECTION DATE
PERSON CONTACTED: jok, a 1
NAME OF INSPECTOR: L_ 0' Yb I DO
FIRE
SYSTEMS:
f- E i L-11 1-17
ANNUAL
HAZARDS FOUND AND LOCATIONS
�OMUNICATIONS
0
ENTER CODE ONLY ONCE 1�
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE-INSPE&ION
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-CITAT10N
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
_5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
18
4
8
DATE:
DISPOSITION:
7
8
�'UETTERNEEDED E] YES NO
LETTER NEEDED 0 YES NO
FIRE DEPARTMENT COPY