610 DALEY ST (2)(plo D)qL-q LS)-, FIRE PREVENTION
-INSPECTION REPORT
-Serving Briet, E"111.,—, and 12425 Meridian Ave S
SN-OHONIISH PE-DIVIONDS
AY&ntlake Ter race Everett, WA 98208 0 BRIER
F1 E. 0 MOUNTLAKE TERRACE
Darr . Phone (425) 551-1200 [1 UNINCORPORATED
0 A cc Fax (425) 551-1-272
1k www.FireDistrictl.org
LOCATION:610 DaleyStreet 98020
BUSINESS NAME: Edmonds Park Townhouses
MAILING
ADDRESS: 610 Daley Street, Edmonds, WA 98020
BUSINESS OWNER: Green, Carol
EMERGENCY-1: Green, Carol
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE 3/16 12:00:00 AM
Date Last Serviced:
e' FREQUENCY STATION & SHIFT
Annual 17-D
SCHEDULED Aug 2017
DATE DUE
428
UFIR
CURRENT
CITY NE '#"" NO
BUSINESS 1:2--=1
LICENSE =--U—J
INITIAL INSPECTION DATE
1 -3 - 1-1
5-107—
PHONE: 4 435
HOME PHONE: ob
HOME PHONE- 42,5� K1435
HOME PHONE: . 17 -
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Serving Brier, Edmonds, and
Mountlake Terrace
www.FireDistrictl.org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 5514200
Fax (425) 551-1272
LOCATION:
610 Daley Street 98020
BUSINESS NAME: PHONE:
Edmonds Park Townhouses 4257741435
MAILING
ADDRESS:
FIRE PREVENTION
INSPECTION REPORT
OEDMCNDS
0 BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
r FREQUENCY j:STATION&:SH:11F'*)
Allnual
SCHEDULED
DATE DUE II'
2916
LIFIR II,
428
I .. 1510 ualeyzitreet, Edmonds, VVA Vt$UZU
BUSINESS OWNER: HOME PHONE:
EMERG.ENCY-1: HOME PHONE: rCURRENT
KEY ACCESS-2- OM P 0 - 4 CITY YES NO
HOME PHONE:. 42r
j-
EMAIL: 61- . Z4Z604 BUSINESS F-]
f Z2 LICENSE
INITIAL INSPECTION 6ATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS:
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2 s
-2
3
3
4
4
5 .... ......
6
5
6
7
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I AGREE TO CO RRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
I st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
INSPECTOR:
PERSON
CONTACTED:
INSPECTOR:
PERSON
CONTACTED:
1
INSPECTOR:
2
R
DATE:
DATE:
DATE:
3
VIOLATIONS
5
VIOLATION$t,4"
1 15
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
2.
7
3
7
RETURN RECEIPT
RECEIVED
6
4
8
4
8
DATE:
DISPOSITION:
LETTER NEEDED [] YES NO
r LETTER NEEDED [3 YES NO
8
FIRE PREVENTION,
Serving Brie'r Edinonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mbuntla6 Terrace, and
,FIRE
Everett, WA 982018
EDMONDS
0 BRIER
'he Town q bodway
f W
DISTR
Phone(425 14200
)55. ,
OWOODWAY
: .[I MOUNTLAKE TERRACE
www.FireDistrict].org
Fax (425) 55142'72
0 UNINCORPORATED
r-FREQUENCY
STATION & SHIF')
17 B
LOCATION: 610 Daley Street
BUSINESS NAME: Edmonds Park Townhouses
PHONE:
SCHEDULED /11
DATE DUE 1'
MAILING 610 Daley St #E
UFIR 1, 423 8203
ADDRESS: Edmonds
98020
BUSINESS OWNER: Green,Carol
HOME PHONE: 4257741435
ACTIVE
EMERGENCY-1: Griffith, Vicki #F
HOME PHONE: 4257747604
KEY ACCESS-2:
HOME PHONE:
[-�URRENT
Ty YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
Z6,— ZO//
-FIRE
FE 10 1 t6
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
/IJL 5L UAj
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:
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
D TE:
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:
\� LETTER NEEDED [] YES NO
LETTER NEEDED F] YES NO
FIRE DEPARTMENT COPY
I
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
LOCATION:
610 Daley Street
BUSINESS NAME:
Edmonds Park Townhouses
MAILING
610 Daley $1 #E
ADDRESS:
Edmonds
BUSINESS OWNER:
Green,Carol
EMERGENCY-1:
Griffith, Vicki #F
KEY ACCESS-2:
FIRE PREVENTION
SAFETY SURVEY
PHONE:
98020
HOME PHONE: 4�k_741435
HOMEPHONE: 4257747604
HOME PHONE:
FREQUENCY
STATION 1, SHIFT
17 A
I
SCHEDULED
DATE DUE 11�
03/01/10
LIFIR 0, 423
ACTIVE
PERSON CONTACTED: INITIAL INSPECTION D TE
NAME OF INSPECTOR: 1VAV"A41<46f
FIRE FE I
SYSTEMS: ANNUAL
HAZARDS FOUN
,Q AND LOCATIONS / 99MMUNICATIONS
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VIOLATION CODE
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5
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7
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8
8
1st RE -INSPECTION
DATE DUE
2nd RE -INSPECTION
DATE DUE.
EXTENSION
GRANTED TO:
FINAL RE-(NSPECTION
DATE DUE.
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
I
INSPECTOR
INSPECTOR-
INSPECTOR-
2
DATE: /0
�_(05L_Al/__IO�NS
DATE:
DATE:
3
'
1 5
VIOLATIONS
1 5
PRE-CITA11ON
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECE]k
RECEIVED
6
7
4
18
4
18
DATE:
DISPOSITION:
8
1,, LETTER NEEDED 0 YES NO
LETTER NEEDED E] YES NO
1
FIRE DEPARTMENT COPY
CITY GF EDMONDS
121 5� AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
41 S9 z
Ix LOCATION: 610 Daley Street
BUSINESS NAME: Edmonds Park Townhouses PHONE:
MAILING 610 Daley St #E
FIRE PREVENTION
SAFETY SURVEY
ADDRESS: Edmonds 98020
BUSINESS OWNER: Green,Carol HOMEPHONE: 4257741435
EMERGENCY-1: Griffith, Vicki #F HOMEPHONE: 42-57747604
KEY ACCESS-2: HOME PHONE:
FREQUENCY
STATION 1, SHIFT
17 C
I
SCHEDULED
I�
W61109
DATE DUE
LIFIR � 423
8203
ACT IVE
r INITIAL INSPECTION DATE
PERSON CONTACTED: 6--z -- ) I
NAME OF INSPECTOR: Vzo /10<�
FIRE F� Z_1_0
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
C 44 12-0 -S j
21 Lzg�cp!si
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ENTER CODE ONLY ONCE
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
'Ist 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:
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
-
7
Aw
4
18
4
8
DATE:
DISPOSITION:
8
�,UETTERNEEDED [] YES C] NO
LETTER NEEDED [] YES 0 NO
FIRE DEPARTMENT COPY