621 5TH AVE S-S
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ServingBrier, Pamurtu.), and 12425 Meridian Ave S
STJOHOMISH CO.
Mountlake Terrace Everett, WA 98208
F1 E Phone (425) 551-1200
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C7 Fax (425) 551
LOCATION: 621 5 th Avenue S 98020
BUSINESS NAME: Bayview Apts PHONE: 3606521178
MAILING 19711 Scriber Lake Road, Lynnwood, WA 98036
ADDRESS:
BUSINESS OWNER: Appleby, Michael HOME PHONE:
FIRE PREVENTION
INSPECTION REPORT
21`6DMONDS
0 BRIER
[I MOUNTLAKE TERRACE
[I UNINCORPORATED
FrQUENfY STAJ�
nnU I _� SHIFT
SCHEDULED Oct 2016
DATE DUE �
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EMERGENCY-1: Cadence Realty HOME PHONE: 4257760143 �URRWNT yv �Pr
S NO
KEY ACCESS-2: HOME PHONE: CITY 'N�
BUSINESS
EMAIL: LICENSE
I,- ell INITIAL INSPECTION DATE
PERSON CONTACTED: C>
NAME OF INSPECTOR: 7 S) 2-
_IKt 1�yll) I tmll): FE 6/15
Date Last Serviced: Lel Lt
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2 2
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4
5 5
6 6
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
7
In our continuing effort to promote fire safety and prevention within the community, your fire department conducts
regularly scheduled "Fiee 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) 775-7720; for
Mountlake Terrace or Brier, call (425) 744-6231.
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SNOHOM.ISH CO. Se�ving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
FIRE'. 11 . k
Phone (425) 551-1200
--ST. T Www.FireDistrictl.org
Fax (425) 551-1272
LOCATION
621 Sp' Aveinule- S '§8020
BUSINESS NAME: Bayview AptS PHONE: 3606521178
MAILING
ADDRESS: 19711 Scriber Lakd, Road, Lynnwood, WA 98036
BUSINESS OWNER: Appleby, Michael HOME PHONE:
EMERGENCY-1: Cadence Realty HOME PHONE: 4257760143
KEY ACCESS-2: HOME PHONE:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS:. FE-&a-3,,
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FIRE PREVENTION
INSPECTION -REPORT
0 EDMONDS
0 BRIER
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[3 UNINCORPORATED -
I' FREQUENCY STATION & SHIF'*�
Annual 17-C
SCHEDULED
DATE DUE I, Oct 2015
LIFIR o 424 153
CURRENT
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YES NO
BUSINESS
F-1
LICENSE
INITIAL INSICT
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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--- — ------
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...................................
3
3
4
4
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6
6
7
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1 st RE -INSPECTION
2nd RE -INSPECTION
EXTENSION
FINAL RE -INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR:
2
INSPECTOR:
INSPECTOR:
DATE:
DATE:
DATE:
3
VIOLATIONS
...........
VIO IONS,-'�
PRE -CITATION
CITATION ISSUED
1 5
LETTER SENT
NUMBER:
4
2
6
2
6
DATE:
CODE
5
RETURN RECEIPT
-SECTION:
3,
7
3
7
......RECEIVED
6
DISPOSITION:
4
.8
4
DATE:
7
LETTER NEEDED [] YES El NO
LETTER NEEDED YES D NO
8
00"11 �L
SNOHOMISH CO. Serving Briet: Edmonds, and
Mountlake Terrace
FIRE
1 14'4pW1.
DISTRI". T wwwFireDistrictl.oig
LOCATION: 621 5th Avenue S 96020
BUSINESS NAME: Sa%-,(iew.Apts
MAILING
12425 MeridianAve S
,,Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
I e FREQUENCY OTATInki I? C2UIE7T
Annuall 17-A
SCHEDULED
8 DATE DUE 1' Oct 2013
UFIR � 42-4
PHONE
ADDRESS: 19711 Scriber Lake Road, LynrTwood, WA 98038
BUSINESS OWNER: Appleby, Michael HOME PHONE:
EMERGENCY-1: Cadence Realty
KEY ACCESS-2:
EMAIL:
PERSON CONTACTED: a
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
300652117
HOME PHONE: 42577CO
HOME PHONE:
r_ /
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
0 BRIER
0 MOUNTLAKE TERRACE
0 UNINCORPORATED
CURRENT
CITY
YES NO
BUSINESS
El El
LICENSE
INITIAL INSPECTION DATE
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HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
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2
2
3
4
3
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE �EXT 30 DAYS X
1 st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
1
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
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INSPECTOR:
INSPECTOR:
INSPECTOR:
DATE:
2
3
DATE:
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VIOLATIONS
1 5
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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:
7
11 LETTER NEEDED E] YES El NO
LETTER NEEDED F] YES [I NO
8
FIRE DEPARTMENT COPY
i �j
FIRE PREVENTION
CITY OF EDMONDS SAFETY SURVEY
121 5- AVENUE N. EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
4�'
FR NCY STATW & 61IFF
6 2 1 5th Avenue S SM
LWATION:
BUSINESS NAME: Bayview Apts 3606521178 SCHEDULE I D 1(] 1 101110
PHONE: DATE DUE
MAILING 19711 Scriber Lake Rd #A LIFIR 1�424 1(153
ADDRESS: Lynnwood 98036
BUSINESS OWNER: Cadence Realty HOME PHONE: 4257760143 ACTIVE
EMERGENCY- 1: Appleby, Micheal HOME PHONE: 4254222412
KEY ACCESS-2: Dines, Bob HOME PHONE: 4257753794
r INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: 6 0q
FIRE FE f,=21
SYSTEMS. ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE I�
VIOLATION CODE
2
2
3
3,
4
4
5
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6
6
7
8
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
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
VIOUMONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
13
7
RETURN RECEIPT
RECEIVED
6
7
4
18
4
18
DATE:
DISPOSITION:
8
k, LETTER NEEDED [] YES E] NO
LETTER NEEDED 0 YES E] NO
I
FIRE DEPARTMENT COPY