629 DALEY ST (2)'RiPRiVENTION
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INSSPACTION REPORT
SNOHONIISH CO. Serving Brier, Edmwtu.), urid 12425 Meridian Ave S
0 EDMONDS
Mountlake Terrace Everett, WA 98208
0 BRIER
F1 E Phone (425) 551-1200 0 MOUNTLAKE TERRACE
DI S, I PL T www.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED
FREQUENCY STATION & S HIFTN
LOCATION: 629 Daley Street 98020 Annual 17-D
BUSINESS NAME: Seafarer Apts (& 625) PHONE: 4 7 SCHEDULED Aug 2017
DATE DUE
MAILING LIFIR � 141
ADDRESS: 629 Daley Street, Edmonds, WA 98020
13USINESS OWNER: Bradshaw, George HOME PHONE:
EMERGENCY-1: Bradshaw, Frank 42��6
HOME PHONE: -rf - URRENT Y ISI NO
KEY ACCESS-2: HOME PHONE: ITY
BUSINESS
EMAIL: LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:
NAME OF INSPECTOR: -c -3 -
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FIRE PREVENTION
_$�'rving Brier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT
Mountlake Terrace Everett, WA 98208 OEDMONDS
0 BRIER
Phone (425) 551-1200 0 MOUNTLAKE TERRACE
Twww.FireDistrictl.org Fax (425) 551-1272 (3 UNINCORPORATED -
0' FREQUENCY
STATION & SHIFT
LOCATION:
629 Daley Street 98020
Ammus'
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BUSINESS NAME:
PHONE:
SCHEDULED
II'
Seafarer Apts (& 625)
4257759227
DATE DUE
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MAILING
LIFIR 0
ADDRESS:
141
629 Daley Street,. Edmonds, WA 98020
BUSINESS OWNER:
HOME PHONE:
Bradshaw, George
EMERGENCY-1:
HOME PHONE:
"7CURRENT
KEY ACCESS-2:
Bradshaw, Frank
HOME PHONE: 4257749296
CITY YES NO
EMAIL:
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS:.
FE-7
Dab&k&sb38M_cecbcAnONS COMMUNICATIONS
2
2
3
.......... . ..
4
4
5
6
6
. .......... ---- --
7
7
I AGREE TO cbRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
FINAL RE
EXTENSION
-INSPECTION
VIOLATIONS
DATE DUE:
DATE DUE:
GRANTED TO:
DATE DUE:
CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
CONTACTED:
1
INSPECTOR:
INSPECTOR:
INSPECTOR:
2
DATE:
DATE:
DATE:
3
VIOLATIONS
VIOLATIONS
PRE -CITATION
CITATION ISSUED
LETTER SENT
NUMBER:
4
5
CODE
2
6
DATE:
SECTION:
RETURN RECEIPT
3
7
3
7
RECEIVED
6
DISPOSITION:
4
4
DATE:
7
k.,LETTERNEEDED [] YES NO
LETTER NEEDED 0 YES El NO
8
I A i rj Mn Serving Brier, Edmonds, and 12425 Meridian Ave S
SNOHOMISH CO.
Mountlake Terrace Everett, WA 98208
FIRE,,� I Phone (425) 551-1200
DISTR1 -1272
T www.FireDistrictl.org Fax (425) 551
LOCATION: 629 Dalev Street QW20
BUSINESS NAME: Scalarcr Apis (& E-25) PHONE: 42577.6022'
MAILING
ADDRESS: EM Dalcy SLracL, EcIrmindzi, WA 03020
FIRE PREVENTION
INSPECTION REPORT
0 EDMONDS
OBRIER
0 MOUNTLAKE TERRACE
0 YNINCORPORATED
FREQUENCY STATION 1, SHIF`�
Annual 17-A
SCHEDULED 14
DATE DUE �
LIFIR � 14l
BUSINESS OWNER:
BrR( h4w, Co-rimt-
HOME PHONE:
EMERGENCY-1:
Bra&-luix, �-ranl-
HOME PHONE:
42E774020fi " CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY
YES NO
BUSINESS
1:1 E]
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
A mo
I HE SYS I E MS:
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HAZARDS F D AND LOCATIONS / COMMUNICATIONS
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2
3
3
4
4
5
5
6
6
7
7
I AGREE TO CORRECT THE ABOVE VICLATION(S) IN THE NEXT 30 DAYS X
lst RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO-
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
5
PRE -CITATION
LETTER SENT
CITATION ISSUED
NUMBER:
4
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
�. ,
3
4%
7
RETURN RECEIPT
RECEIVED
6
4
18
4L�
1:
8
DATE:
DISPOSITION:
7
LETTER NEEDED 0 YES NO
E;
ER NEEDED [I YES NO
8
FIRE DEPARTMENT COPY
SNOHOMISH CO. Serving 3,iier, Edmonds
ntlake Terraceand
�TIRE mou " "
the Town of Woodway
DIST Rl T www.FireDistrictl.org
LOCATION: 629 Daley Street
BUSINESS NAME: Seafarer Apts (& 625)
MAILING 911 Cary Rd
12425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
Fax (425) 551-1272
PHONE: 4257759227
ADDRESS: Edmonds 98020
BUSINESS OWNER: '"Bradshaw, George" HOMEPHONE: 4257787210
EMERGENCY-1: "Bradshaw, Frank' HOME PHONE: 4257749296
KEY ACCESS-2: Bradshaw, Ken HOME PHONE: 4257787345
I PERSON CONTACTED
NAME OF INSPECTOR
FIRE
SYSTEMS:
FIRE PRtVENTION
INSPECTION REPORT
EIEDMONDS
0 BRIER
E]WOODWAY
[I MOUNTLAKE TERRACE
0 UNINCORPORATED
FREQUENCY STATION & SHIFT')
365 17 6
SCHEDULED
DATE DUE 08101/11
UFIR � 425 8203
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
FE LLI_J&
ANNUAL:'
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
ftIA C. T_'), FQU(AJ)�
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
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
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
6
DATE:
CODE
SECTION:
5
3
7
-2
3
7
RETURN RECEIPT
RECEIVED
6
4
18
4
18
DATE:
DISPOSITION:
7
LETTER NEEDED [] YES NO
LETTER NEEDED F] YES NO
8
FIRE DEPARTMENT COPY