623 MAIN STI(, Z 3 &1 Iq r-,00 S7-
SNOHOMISH CO. 1'
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
FIRE PREVENTION
INS 2CTION REPORT
OMMONDS
E3 BRIER
[3 MOUNTLAKE TERRACE
[I UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION:
623 Main Street 98020
Annual
17-D
BUSINESS NAME:
Townhouse Condos
PHONE:
4257741120
SCHEDULED
DATE DUE � Feb 2016
MAILING
LIFIR 1 591 203
ADDRESS:
623 Main Street, Edmonds, WA 98020
_j
BUSINESS OWNER:
HOME PHONE:
EMER.GENCY-1:
Mcdonald, John
HOME PHONE: 4257744172
eCURRENT
KEY ACCESS-2:
HOME PHONE:
CITY
BUSINESS
_T
EMAIL:
LICENSE
J
INITIAL INSPECTION DATE
PERSON CONTACTED: cc),rj
-z'o>
NAME OF INSPECTOR:
FIRE SYSTEMS:
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t)m
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
2 2
. ....... ...... ....... ... ... 3
........ . ..... .
5 -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 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.
61nonds
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FIRE PREVENTION
INSPECTION REPORT
Sei-ving Bi-iei;
12425 Met-idian Ave S
'FIRE
SNOHOMIS,ii CO
Mountlake Tei-i-aceand
Evei-ett, WA 98208
0 EDMONDS
El BRIER
the Town o oo
f W dway
DISTR
Phone (425) 551-1200
E]WOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrict].org
Fay (425) 551-1272
[1 UNINCORPORATED
FREQUENCY
STATION & SHIFT_*1
LOCATION: 623 Main Street
365
17 B
I
BUSINESS NAME
: Townhouse Condos
PHONE: 4257741120
SCHEDULED
DATE DUE 11' 07/01/11
MAILING 623 Main St #3
UFIR " 422 7203
ADDRESS: Edmonds
98020
13USINESS OWNER: Robert Nelson
HOME PHONE: 4257741120
ACTIVE
EMERGENCY-1: Nakama, Rance
HOME PHONE: 2067782478
CURRENT -N
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
E]
F]
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR: C 774
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FIRE
I
FE L_L11
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
t[A zt-n e L<
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:
DATE:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
1 5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
6
7
8
4
8
4
8
DATE:
DISPOSITION:
L7�� I N�� Ep� [I YES NO
LETTER NEEDED [] YES El NO
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPAR'TIVIENT
LOCATION: 623 Main Street
FIRE PREVENTION
SAFETY SURVEY
BUSINESS NAME:
Townhouse Condos
PHONE:
4257741120
MAILING
623 Main St #3
ADDRESS:
Edmonds
98020
BUSINESS OWNER:
Robert Nelson
HOMEPHONE:
4257741120
EMERGENCY-1:
Nakama, Rance
HOMEPHONE:
2067782478
KEY ACCESS-2:
H6ME PHONE:
FREQUENCY STATION & SHIFT-"
365 17 A
SCHEDULED
DATE DUE 110 07/01/10
LIFIR I� 422 7203
ACTWE
PERSON CONTACTED: /Jo "7 e_ INITIAL INSPECTION DATE
NAME OF INSPECTOR: 14 — 5 4 4- r .7-020
FIRCE FE — f —
SYSTEMS: ANNUAL
HAZARDS FOUND AND LOCATIONS
1 A-0
2
3
4
5
6
7
8
1st RE -INSPECTION
DATE DUE:
j_ 5
2 6
3 7
4 18
LETTER NEEDED 0 YES [] NO
NICATIONS EN
'v
CA411 'e-
2nd RE -INSPECTION
DATE DUE,
PERSON
CONTACTED:
INSPECTOR:
DATE:
VIOLATIONS
1
5
2
6
2-
7
4
18
LETTER NEEDED C] YES NO
EXTENSION
FINAL RE -INSPECTION
GRANTED TO:
DATE DUE:
PERSON
CONTACTED:
INSPECTOR:
DATE:
PRE-CITAT10N
CITATION IS9
LETTER SENT
NUMBER:
CODE
DATE:
SECTION:
RETURN RECEIPT
RECEIVED
DISPOSITION:
DATE:
VIOLATION CODE
2
3
4
5
6
7
8
VIOLATIONS
CITED:
2
3
4
5
6
7
FIRE DEPARTMENT COPY