651 5TH AVE SFIRE PREVENTION
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;.t' Serving Brier, r-urrionds, and 12425 Meridian Ave S INSPECTION REPORT
SNOHONIISH CO Everett, WA 98208 [21ff1DMONDS
Mountlake Terrace 0 BRIER
FI 0 MOUNTLAKE TERRACE
Phone [I UNINCORPORATED
-DIST T www.FireDistrictl.org Fax (425) 55-177�12-72- -
FREQUENCY
STATION & SHIFT
651 5 th Avenue S 98020
Annual
17-D
LOCATION:
Kariha Condos
0
SCHEDULED Oct 2016
BUSINESS NAME:
PHONE:
DATE DUE �
422153 -
MAILING
651 5th Avenue S, Edmonds, WA 98020
LIFIR 0
ADDRESS:
Hamilton, Laura
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
HOME PHONE: 0
RENT
KEY ACCESS-2:
HOME PHONE: ?L)(, r2l-7-)
CITY S NO
EMAIL:
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BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
f
Date Last Serviced:
Serving Brier, Edmonds, and 12425 Meridian Ave S
SNOHOMISH CO
'Mountlake Terrace Everett, WA 98208
FIRE Phone (425) 551-1200
DISTR' T www.FireDistrictl.org Fax (425) 551-1272
LOCATION: 651 5 th Avenue S 98020
BUSINESS NAME: Karina Condos PHONE: 0
MAILING
ADDRESS: 651 5th Avenue S, Edmonds, WA 98020
BUSINESS OWNER: Hamilton, Laura HOME PHONE:
EMERGENCY-1: HOME PHONE: 0
KEY ACCESS-2: HOME PHONE:
EMAIL:
PERSON CONTACTED:
NAME OF INSPECTOR:
FIRE SYSTEMS: FE
Date Last Servided:
FIRE PREVENTION
INSPECTION REPORT
OEDMONDS
[3 BRIER
0 MOUNTLAKE TERRACE
[3 UNINCORPORATED
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Annual 17-C
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SCHEDULED
DATEDUE �Oct2015
LIFIR � 422 153
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I AGREE TO cbRRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1s . I RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTEDTO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
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INSPECTOR:
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PRE -CITATION
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CITATION ISSUED
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CODE
SECTION:
4
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DATE:
3
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RETURN RECEIPT
RECEIVED
4
DAT . E:
DISPOSITION:
7
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LETTER NEEDED [] YES NO
FIRE PREVENTION
Serving Briet; Edmonds, and
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
DEDMONDS
FIRE
Mountlake Terrace
Everett, WA 98208
El BRIER
Phone (425) 551-1200
El MOUNTLAKE TERRACE
0 UNINCORPORATED
STRT
www.FireDistrictl.org
Fax (425) 551-1272
FREQUENCY
STATION & SHIFT`*�
LOCATION:
651 5thAvenue S 98020
Annua
17-A
BUSINESS NAME:
Karina Condos
PHONE: 0
SCHEDULED
DATE DUE � Oct 2013
MAILING
UFIR � 422
ADDRESS:
651 5th Avenue S, Edmonds, WA 98020
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1:
CURRENT
HOME PHONE: 0
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
El EL
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
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FIRE SYSTEMS:
FE
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1 W6
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
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 or the Town of Woodway, call (425)
775-7720; for Mountlake Terrace or Brier, call (425) 754-0434.
BUSINESS COPY
FIRE PREVENTION
Serving Brier, Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
Mountlake Terraceand
YIRE
Everett, WA 98208
0EDMONDS
0 BRIER
the Town o Woodway
?f
DIST 1p T
Phone (425) 551-1200
DWOODWAY
0 MOUNTLAKE TERRACE
www.FireDistrictl.org
Fax (425) 551-1272
El UNINCORPORATED
" FREQUENCY
STATION & SHIFT
LOCATION: 651 5th Avenue S
365
17 C
I
J BUSINESS NAME: Karina Condos
PHONE:
SCHEDULED
DATE DUE 0 10/01/11
MAILING 651 5th Ave S
LIFIR � 422 1(153
ADDRESS: Edmonds 93020
BUSINESS OWNER:
;
HOME PHONE:
ACTIVE
\' EMERGENCY-1:
HOME PHONE:
- 1
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED: tJO (foiJTAC:� rep-Y-4 (P� i"'
INITIAL INSPECTION DATE
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3
4
4
5
5
6
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1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
lst RE -INSPECTION
DATE DUE.
2nd RE -INSPECTION
DATE DUE.
1
EXTENSION
GRANTED TO,
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
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PERSON
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PERSON
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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
8
�LETTERNEEDED
18
DATE:
DISPOSITION:
LETTER NEEDED [] YES NO
[] YES NO
8
FIRE DEPARTMENT COPY
FIRE PREVEN11ON
CITY OF EDMONDS SAFETY SURVEY
121 5TI, AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE -DEPARTMENT
4�' t
LOCATION: 651 5th Avenue S. FRS%VgNCY STATff & gIIFT
SCHEDULED
BUSINESS NAME.' Karina Condos PHONE: DATE DUE 10/01110
MAILING 651 5th Ave S LIFIR 1, 422 1(153
ADDRESS: Edmonds 98020
BUSINESS.OVVNER: HOME PHONE: ACTIVE
EMERGENCY-1:LAJAA- HOME PHONE:Q-N-- G-7 —(ooG 0
KEY ACCESS-2: HOME PHONE:
PERSON CONTACTED: c tPlA VA INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE F E
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
ENTER CODE ONLY ONCE 10
VIOLATION CODE
2
2
3
3
4
4
5
5
6
6
7
7
8
8
lst 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
�IJMBER:
4
2
6
2
6
DATE:
CODE
SEC�ION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
4
18
4
18
DATE:
DISPOSITlON:
8
LETTER NEED D [] YES E] NO
LETTER NEEDED 0 YES NO
FIRE DEPARTMENT COPY