624 DALEY ST17 (j
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SNOROMI ServingBrier, Ednion,..., 12425 Meridian Ave S
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Moiniflake Perrace Everett, WA 98208
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'PIRE PREVENTION
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0 BRIER
0 MOUNTLAKE TERRACE
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LOCATION: 624 Daley Street Suite A 98020 Annual 17-D
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BUSINESS NAME: PHONE: L
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Thiele, Fred
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INITIAL INSPECTION DATE
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NAME OF INSPECTOR:
FIRE SYSTEMS: FE.3_/_o
Date Last Serviced:
SNOHOMISH CO.
FIRE
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Brier, Edmonds, and 12425 Meridian Ave S
�Mountla,ke Terrace Everett, WA 98208
Phone (425) 5514200
r �www.FireDistrictl.org Fax (425) 551-1272
FIRE PREVENTION
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0 EDMONDS
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[3 MOUNTLAKE TERRACE
[3 UNINCORPORATED
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Edmonds Center Townhouses
Aug 28116
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BUSINESS OWNER:
HOME PHONE:
Thiele, Fred
EMERGENCY-1:
HOME PHONE:
CURRENT
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INITIAL INSPECTION DATE
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5
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7
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
FINAL RE
EXTENSION
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VIOLATIONS
DATE DUE:
DATE DUE:
GRANTEDTO:
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CITED:
PERSON
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LETTER SENT
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2
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2
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3
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RECEIVED
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DISPOSITION:
4
8
4
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DATE:
1
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LETTER NEEDED [] YES NO
LETTER NEEDED F] YES NO
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FIRE PREVENTION
Serving Briet; Ednionds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH: CO.
TIRE Mount ' lake Terrace, and
Everett, WA 98208
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BUSINESS NAME: Edmonds Center Townhouses (&628)
PHONE:
SCHEDULED ()8/01/11
DATE DUE
MAILING 610 Daley St #A
LIFIR o 422 8203
ADDRESS: Edmonds
98020
BUSINESS OWNER:
HOME PHONE:
ACTIVE
EMERGENCY-1:
HOME PHONE:
CURREN'T
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
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LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
1-6
FIRE
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SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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
11st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
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PERSON
CONTACTED:
PERSON
CONTACTED:
I
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
18
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED [-] YES NO
LETTER NEEDED E] YES El NO
8
FIRE DEPARTMENT COPY
zCITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPARTMENT
LOCATION: 624 Daley §treet
BUSINESS NAME: Edmonds Center Townhouses (&628)
MAILING 610 Daley St #A
ADDRESS: Edmonds 98020
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE:
PHONE:
FIRE PREVENTION
SAFETY SURVEY
FREQUENCY
STATION& SHIFT
13
1
17 A
I
SCHEDULED
DATE DUE 11'
08/01110
UFIR Io 422
8203
ACTIVE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE
SYSTEMS:
ANNUAL
HAZARDS FO
1
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ENTER CODE ONLY ONCE 1�
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
1st RE -INSPECTION
DATE DUE.
2nd RE -INSPECTION
E DUE.
1%
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CO TACTED:
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
7
4
18
4
8
DATE:
DISPOSITION:
1
8
� LETTER NEEDED [] YES NO
LETTER NEEDED -0 YES 0 NO
FIRE DEPARTMENT COPY