539 4TH AVE SIVY
V39 FIRE PREVENTION
INSPECTION REPORT
Serving'Briq;�;qmonds, and 12425 Meridian Ave S
H
SNOliomis
ODMONDS
Mountlake Terrace Everett, WA 98208 - 'OBRIER
FIRJVJ Phone (425) 551-1200 0 MOUNTLAKE TERRACE
arr [3 UNINCORPORATED
&,j jL R www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 539 4 th Avenue S 98020
BUSINESS NAME: Curtis Apts
MAILING 539 4th Avenue S, Edmonds, WA 98020
ADDRESS:
BUSINESS OWNER:
-0.
EMERGENCY-1: Curtis, Chester
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
":NAME OF INSPECTOR:
I Emb: FE 11/15
Date Last Serviced:
PHONE
HOME PHONE:
HOME PHONE: 4257787111
HOME PHONE:
/r7.1. /
XEnQUUaEN
n CY STyfb& SHIFT
SCHEDULED Sep 2016
DATE DUE �
.422 1 b2
LIFIR 0
11 __j
CUR,RENT
CITY
BUSINESS
LICENSE
INITIAL INSPECTION DATE
i . v,
SNOHOMISH CO.
Serving Brier, Edmonds, and
Mountlake Terrace
www.FireDistrictl.org
LOCATION:
539 4 th Avenue S
98020
BUSINESS NAME:
Curtis Apts
MAILING
ADDRESS:
539 4th Avenue S, Edmonds, WA 98020
BUSINESS OWNER:
.EMERGENCY-1:
Curtis, Chester
KEY ACCESS-2:
EMAIL:
oo PERSON CONTACTED: 11,(o coc,4z,4
v v4,—.
NAME OF INSPECTOR:
FIRE SYSTEMS:
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9
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE:
HOME PHONE:
HOMEPHONE: 4257787111
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
DEDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
FREQUENCY STAT13N & SHIFT
Annual r1T7,-C
SCHEDULED
DATE DUE I, Sep 2015
UFIR 1 422 152
CURRENT YES NO .
CITY
BUSINESS
LICENSE
INITIAL INSPECTION DATE
HAZARDS FOUND AND LOCATI=SX'OMUNICATIONS
2
2
3
-3
4__
5
4
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 Inspections" of all businesses and multi -family occupancies in the Cities
covered by Snohomish County Fire District 1.
You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you
will find the item(s) that were noted during. our inspection which require attention to bring them into compliance
with the minimum standards adopted by the above jurisdictions.
Any overlooked hazards or violations. of the fire regulations does not imply approval of such conditions or viola�lon
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-7720;/ or
Mountlake Terrace or Brier, call (425) 744-6231.
/, FIMI Serving Brier, Edmond� 12425 Meridian Ave S
sNoH6mm CO.',�.
41111117,
'IRE' Mountlake Terrace',and Everett, WA 98208
the Town of Woodway Phone (425) 551-1200
I S T h wff'T www.FireDistrictl.org Fax (425) �51-1272
LOCATION:.,, 539 4"'Avenue S 98020
BUSINESS NAME: Curtis Apts PHONE:
MAILING
ADDRESS: 539 4th Avenue S, Edmonds, WA 98020
BUSINESS OWNER: HOME PHONE:
Email:
FIRE PREVENTION.
INSPECTION REPORT'
0 EDMONDS
0 BRIER
0 WOODWAY
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY STATION & SHIFT�
Annual 17-A
I I
SCHEDULED Sep
DATE DUE
LIFIR 422
EMERGENCY-1: Curtis, Chester HOME PHONE: 4257787111 'CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
BUSINESS
LICENSE E
PERSON CONTACTED: K/0A A —Vol INITIAL INSPECTION DATE
NAME OF INSPECTOR: I 1� ,-- ( 's
s_rk (f,(, 207
FIRESYSTEMS: FE_V_L�
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
AL
2
2
3
3
4
4
5
5
6
6
7
7
1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
Ist RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
1
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DA E:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
-2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
11 LETTER NEEDED C] YES NO
LETTER NEEDED 0 YES NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Briet; Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
FIR
Everett, WA 98208
[]EDMONDS
0 BRIER
'h e Town of Woodway
DISTRI Fr
Phone (425) 551-1200
owo6bWAY
[I MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
STATION & SHIFT*)
LOCATION: 539 4th Avenue
S
365
17 D
BUSINESS NAME: Curtis Apts
PHONE:
SCHEDULED
DATE DUE 09101/12
MAILING 402 9th Av S
UFIR � 422. 9152
t
ADDRESS: Edmonds
98020
BUSINESS OWNER: Curtis, Chester
HOME PHONE: 42 J737111-
ACTIVE
EMERGENCY-1:
HOME PHONE:
CtRRENT'
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: C) C,
(o 17- _j
FIRE Mail Notice to Owner
FE Z-_f_ll
SYSTEfAS:
ANNUAL
HAZARDS FOUND AND LOCATIONS) COMMUNICATIONS
41_ j
A0 /0
19tld
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
1 st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
D E 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
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8
18
DATE'
DISPOSITION:
7
LETTER NEEDED C] YES El NO
LETTER NEEDED 0 YES El NO
8
FIRE DEPARTMENT
COPY
Serving Brier, Edmonds
SNOHOMISH CO.
TIREthe
Mountlake Terrace, and
ST RTT.
Town of Woodway
www.FireDistrictl.org
LOCATION:
539 4th Avenue
BUSINESS NAME:
Curtis Apts
MAILING
402 9th Av'_S
ADDRESS:
Edmonds
BUSINESS OWNER:
Curtis, Chester
EMERGENCY-1:
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSPECTOR: mc�`wn(((r 2yzt- al
FIRE Mail Notice to OwneO,
SYSTEMS:
S
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE:
98020
HOMEPHONE: 4257787111
HOME PHONE:
HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
OEDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY I STATION & SHIFF)
365 17 C
SCHEDULED n910111 I
DATE DUE � u
LIFIR 1, 422 9152
ACTIVE
CURhENT
CITY YES NO
BUSINESS
LICENSE El El
INITIAL INSPEPTIONkATE
I zl� 0 ki
FE 41�0
ANNUAL
HAZARDS FOUND AND LOCATIONS /
p
XMMUNICATIONS
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
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:
D E:
DATE:
3
VIOLATIONS
1 15
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
4
.8
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES NO
LETTER NEEDED E] YES [I NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
.,121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (42 -0215
771
FIRE DEPARTMENT
V.
LOCATION: 539 4th Avenue S
BUSINESS NAME: Curtis Apts PHONE:
MAILING 402 9th Av S
FIRE PREVENTION
SAFETY SURVEY
ADDRESS: Edmonds 98020
BUSINESS OWNER: Curtis, Chester HOMEPHONE: 4257787111
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE:
PERSON CONTACTED: 121
NAME OF INSPECTOR: cbkv �_Kko
FIRE' Mail N2!!5qo Owner
SYSTEMS:
FREQUENCY
STATION & SHIFT
365
17 6
I
SCHEDULED
1�
09/01/10
DATE DUE
LIFIR P� 422
9152
ACTIVE
INITIAL PSPEPTION DATE
ANNUAL 2 16)1
HAZARP� FqyND AND LO IMUNICATIONS
_�ATIONS / CON
\
ENTER CODE ONLY ONCE lo
VIOLATION CODE
.... ... .... ..
2
2
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 -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLAnONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECErVED
6
4
18
4
18
DATE:
DISPOSITION:
7
8
11 LETTER NEEDED iD YES E] NO
LETTER NEEDED 0 YES E] NO
FIRE DEPARTMENT COPY