617 DAYTON STSNO
F
Da V ro xJ 'rs—
Serving Brier, bdmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
D 11 1 Az 4Z 1 1 1nn
uric I -r -/,/ -
D1mk-.-xrjFLR1CT .-FireDistricti-org Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
r- FREQUENCY
STATION & SHIFT
617 Dayton Street Bldg 98020
Annual
17-A
LOCATION:
Andre'Apts
BUSINESS NAME:
4257743855
SCHEDULED Jun 2017
PHONE:
DATE DUE �
423
MAILING
UFIR
617 Dayton Street, Bldg, Edmonds, WA 98020
ADDRESS:
BUSINESS OWNER:
HOME PHONE:
Kennedy, John Jr
4257713497
EMERGENCY-1:
HOME PHONE.
'
17
�URRENT
KEY ACCESS-2:
HOME PHONE:
CITY
YES NO
BUSINESS
EMAIL:
LICENSE
PERSON CONTACTED: ry
INITIAL INSPECTION DATE
NAME OF INSPECTOR: ,
FIRL byb I tmb: FE 8/
Date Last Serviced:
\1
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
N
2 �2
3 3
5
6
7
� � _ . - � 1 4
5
6
I _ � 1 7
I I AGREE TO CORRECT THE ABOVE VIOLAfION(S) IN THE NEXT 30 DAYS X I
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 violation.
If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-77V
Mountlake Terrace or Brier, call (425) 744-6231.
. . - . i: .
SNOHOMISH CO. 1�
Serving Brier, Edmonds, and
Mountlake Terrace
www.FireDistrictl.org
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
LOCATION:
617 Dayton Street Bldg 98020
BUSINESS NAME: PHONE:
Andre'Apts
MAILING
ADDRESS:
617 Dayton Street, Bldg, Edmonds, WA 98020
BUSINESS OWNER: HOME PHONE:
4257743855
FIRE -PREVENTION
INSPECTION REPORT
e�n__MONDS
0 BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
FREQUENCY STATION & SHIFT
SCHEDULED
DATE DUE 0
dum 261 _6
UFIR
k, 423
EMERGENCY-1: HOME PHONE: CURRENT
KEY ACCESS-2: Kennedy, John Jr HOME PHONE: 4257713497 CITY YES NO
EMAIL: BUSINESS M E
LICENSE L—J
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE 5/14 5—//1,
UsbAksstcr6sDAaedocATiONS
I COMMUNICATIONS
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. Abov ou
3
will find the item(s) that were noted during. our inspection which require attention to bring them into compli
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 violation.
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.
T 0 tJ
FIRE PREVENTION
Sei -ving Briei: Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
ISNOHOMISH CO.
Mountlake Terrace
FIR
Everett, WA 98208
RrEDMONDS
In BRIER
DI s
Phone (425) 551-1200
0 MOUNTLAKE TERRA6E
[I UNINCORPORATED
www.FireDistrictl.org
Fax (425) 551-1272
FREQUENCY STATION & SHIF"*1
LOCATION: 617 Daymn Street Bldq 98020
Amival 17-B
I
BUSINESS NAME: Andrd ApLs
PHONE: 4215-7743grX
SCHEDULED
DATE DUE II' Jull 20-14
MAILING
UFIR o 423
ADDRESS: E17 DayLan SL=4 Bldg, Edmonds, WA 03020
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: Kcrinccily—John Jr HOME PHONE: 4257713407
�'CURRENT
KEY ACCESS-2: HOME PHONE:
CITY YES NO
EMAIL:
BUSINESS
El z
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
07-
/19
Ir IRE SYS I -EMS: t/'FFkY5/ M
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
'e, os
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
1st RE -INSPECTION
DATE DUE.
2nd RE -INSPECTION
DATE DUE.
EXTENSION
GRANTEDTO,
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
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
18
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED F
11 ] YES El NO
LETTER NEEDED [_
_] YES El NO
8
FIRE DEPARTMENT COPY
)So
Serving Brier, Edmonds
12425 Meridian Ave S
SNOHOMISH CO.
(s(��
FIRE
Mountlake Terraceand
Everett, WA 98208
mR
Sr I
I the Town of Woodway
T
Phone (425) 551-1200
www.FireDistrictl.org
Fax (425) 551-1272
LOCATION:
617 Dayton Street
BUSINESS NAME:
Andre"Apts
PHONE: 4257743855
MAILING
617 Dayton St #7
ADDRESS:
Edmonds
98020
BUSINESS OWNER:
"Kennedy, John Jru
HOME PHONE: 4257713497
EMERGENCY-1:
HOME PHONE:
KEY ACCESS-2:
HOME PHONE:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
'SYSTEMS:
_� 0
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY I STATION & SHIF"*'
365 17 A
SCHEDULED
DATE DUE 1' 06/01/13
UFIR � 423 620-11
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
FE V-t-�
HAZARDS FOUND AND LOCATIONS COYM]NICAT
JOS
A9 (Cl f oil
kl-�
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
1st 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:
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
18
[4
8
DATE:
DISPOSITION:
LETTER NEEDED [] YES El NO
LE ER NEEDED [I YES NO
8
0 FIRE DEPARTMENT COPY
FIRE PREVENTION
Serving Briet: Ednionds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
IRE
44w))- Mountlake Terraceand
--W
Everett, A'98208
El EDMONDS.;!.
0 BRIER
DISTRJW7
the Town of Woodway
A; jp
Phone (425) 551-1200
E]WOODWAY
[I MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (42�) 551-1272
[1 UNINCORPORATED
FREQUENCY
STATION & SHIFT_'�
LOCATION:
617 Dayton Street
365
17 D
I
BUSINESS NAME:
Andre!Apts
PHONE: 4257743855
SCHEDULED
DATE DUE 1' 06/01/12
MAILING
617 Dayton St #7
UFIR Io 423 6203
ADDRESS:
Edmonds
93020
BUSINESS OWNER:
"Kennedy, John Jru
HOME PHONE:, 4257713497
ACTIVE
EMERGENCY-1:
HOME PHONE:
"'CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES No
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE
FE
SYSTEMS:
A; AL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
2
2
3
3
4
4
5
5
6
6
W
7
7
1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE,
I
2nd RE -INSPECTION
DATE DUE-
I
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED -
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
I
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:
7
\1 LETTER NEEDED [-] YES NO
LETTER NEEDED C] YES NO
r
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
SNOHOMISH CO.
Sei-ving Bi-iet; Edmonds
12425 Met-idian Ave S
INSPECTION REPORT
EDMONDS
_"ABRIER
Mountlake Terraceand
Everett, WA 98?08
DIST
Twww.FireDistrictl.org
the..Tow of Woody
n qy
2P -1200
,hQne�(,�25) 551
0 WOODWAY
0 MOU�TLAKE TERRACE
Fax (425) 551-1272
0 UNINCORPORATED
FREQUENCY
STATION& SHIF"�
LOCATION:
617 Dayton Street
-365
17 C
I
BUSINESS NAME:
Andre Apts
PHONE: 4257743355
SCHEDULED 06/01/11
DATE DUE
MAILING
617 Dayton St #7
UFIR " 423 6203
ADDRESS:
Edmonds
98020
BUSINESS OWNER:
Kennedy, John Jr"
HOME PHONE: 425771,U97
ACTIVE
EMERGENCY-1:
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
11 11
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
FE 5711/
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2 M(J4 '')/I (A
2
3
3
U k�/ 'J
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st I 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:
2ATE:
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
7
RETURN RECEIPT
RECEIVED
6
4
18
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED E] YES El NO
LETTER NEEDED [] YES NO
8
.FIRE DEPARTMENT COPY
CITY OF EDMONDS
FIRE PREVENTION
FILE MEMO/HAZARD FORM
DATE REPORTED BY S Fl—
OF _)ceivD
SUBJECT 6 -7
ADDRESS:
CONCERNS/ AmW' APM - 7'0' A-tr. r6-4'�g
HAZARDS
SIGNED
FOLLOW-UP
L_T5 ON) r-6'jf'O& VfC-0 IAJ J-161W 0-r- -nA4".
L-OcOrtO oA� W. C,06
'(5
Ue)&l V6
j3 V-4
s-ri5 I r-f-fn v I., I- &� . .
vo OR-1—&P-e (5-.6-r AODAX:�s
rrvr 7,*-fT4L- 1 Cyr+ 1
ry-T, STOO-Al --y
tr5
Y, (T
61 &A/
/vo
SIGNED
Q