520 PINE ST (2)SNOITOMISH CO.
P Z�Je' FIRE PREVENTION
-a INSPECTION REPORT
2
Serving Brier, Edmond�, nd 425 Meridian Ave S
OEDMONDS
Mountlake Terrace Everett, WA 98208 0 BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
[I UNINCORPORATED
%j JL www.FireDistrictl.org F6x (425) 551-1272
520 Pine Street 98020
'XnEQUE
nua7CY
STyftA SHIFT
LOCATION:
Edmonds Seacrest Condos + 525 Forsyth Ln
4257715221
SCHEDULED Dec
2U1b
BUSINESS NAME:
PHONE:
DATE DUE �
MAILING
520 Pine Street #102, Edmonds, WA 98020,
4Zf
LIFIR 0
ADDRESS:
BUSINESS OWNER:
HOME PHONE:
Sudol, Julia
4256406049
IEMERGENCY-1:
HOME PHONE:
URRENT
KEY ACCESS-2:
HOME PHONE:
YES NO
BUSINESS
11 El
EMAIL:
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
J — 7, 13 — k47
M-1- . - ^-- .:-- -
%
.�,.Serving Brier, Edmonds, and
SNOHOMISH CO.
Mountlake Terrace
's-
FIRE
DISTR T www.Pl�eDistrictl.org
LOCATION: 520 Pine Street 98020
BUSINESS NAME: Edmonds Seacrest Condos + 525 Forsyth Ln
MAILING
ADDRESS: 520 Pine Street #102, Edmonds, WA 98020
BUSINESS OWNER:
EMERGENCY-1: Sudol, Julia
KEY ACCESS-2:
EMAIL:
PERSON CONTACTE D:
NAME OF INSPECTOR:
FIRE SYSTEMS: 'FE 9/14 FD Lk Box (2)
n,qtp I ;iqt Rprvinprf* ;il,
r- , ) Z_
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4257715221
FIRE,�,O.REVENTIOINI
INSPE'CTION REPORT
OEDMONDS
0 BRIERf
[3 MOUNTLAKE TERRACE
[3 UNINCORPORATED
FREQUENCY [STATION & SH I FT-1
17_
Annual 17-B
SCHEDULED
DATE DUE � Dec 2015
UFIR � 427
\1 - -1 �
HOME PHONE:
HOME PHONE 4256406049 'CURRENT YES NO
HOME PHONE. CITY
BUSINESS
LICENSE El
I-NITIAL,INSPECTION DATE
> 7�w�
f6 -V&
HAZARDS FOUND AND LOCATIOAS / COMMUNICATIONS
CAJ 11�VVO"(
Ak) T
6
-7—
44A ct 1-1A, c-
/7-/A)6
2 1
2
A )C,-)7 (,10 4<1�4161
3
L 16.P j�� -7-///f 0 L) 6 U
114 L,& -7- I/0jr /7�
3
4
5
7--
6
6
Ic 0/0 M
L7
7
I AGREE"to cORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
11st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:',
DATE DUE:
CITED:
PERSON
CONTACTED: A10,j6--
PERSON
CONTACTED:
PERSON
CONTACTED:
I�NNSPEI�t
DATE:
INSPECTOR: WIVSJ�Al
INSPECTOR:
2
3
2A_TE
DATE:
VIOLATIONS
p�t.
VIOLATIONS' -
PRE -CITATION
CITATION ISSUED
4
1 4LIPS 5
5
LETTER SENT
NUMBER:
2
6
2
6
DATE:
CODE
SECTION:
5
RETURN RECEIPT
6
3
7
3
7
RECEIVED
DISPOSITION:
7
4
18
18
DATE:
LETTER NEEDED [-] YES NO
.4
LETTERNEEDED F YES NO
I
8
On 1-0111,1N Serving Briei: Edmonds, and
Mwl Mountlake Teri -ace
wwwFireDistrietl.org
LOCATION: aeu f-Itle Sweet USUM
BUSINESS NAME: LdtTMn&' Scacrml. Candas + 5.15 Farsylh Ln
MAILING
ADDRESS: 620 Piric Slrccl. 41132, Ldman&-, 'vVA 08-020
BUSINESS OWNER:
EMERGENCY-1: Sudd, Julia
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR: < V11
I Him '1-'jys I I- ms: FE I FD Lk- Etax (2)
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4 25-17 15 2 2
HOME PHONE:
HOME PHONE: 42f;E406049
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
El EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[I UNINCORPORATED
FREQUENCY STATION & SHIF")
Annual 17-A
I SCHEDULED Dm 2014
DATE DUE 1'
UFIR 11, 4:17
CURRENT
CITY YES NO
BUSINESS
LICENSE 0 El
INITIAL INSPECTION DATE
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2 .. ..... ...
3
2
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VICLATION(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:
INSPECTOR:
PERSON
CONTACTED:
I
INSPECTOR:
INSPECTOR:
DATE:
2
3
DATE:
DATE:
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
6
2 6
DATE:
CODE
SECTION:
5
7
3
RETURN RECEIPT
RECEIVED
DATE:
DISPOSITION:
6
7
14
'8
4 8
LETTER NEEDED [:] YES NO
LETTER NEEDED [] YES El NO
8
FIRE DEPARTMENT COPY