653 BELL ST (2)I %;k
SNOHOMISH CO.
FIRE
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Serving Brier, Edm(,, s
Mpuntlake Terraceand
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the Town of Woodway"
www.FireDistrictl.org
LOCATION: 653 Bell Street
BUSINESS NAME: Shoreview Villa Condos
MAILING 653 Bell St
ADDRESS:
Edmonds
BUSINESS OWNER:
AL/ctF )651E
EMERGENCY-1, With _BFuldanic.c
KEY ACCESS-2:
PERSON CONTACTED:
NAME OF INSP ECTOR:
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2425 Meridian Ave S
Everett, WA 98208
Phone (425) 551-1200
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PHONE:
98020
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DATE DUE 111 07/01113
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DISPOSITION:
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LETTER NEEDED F] Y
LETTERNEEDED C] YES [I NO
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FIRE DEPARTMENT COPY
TV OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 (425) 771-0215
FIRE DEPARTMENT
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LOCATION: 653 Bell Street
BUSINESS NAME: Shoreview Villa Condos
MAILING 653 Bell St
PHONE:
ADDRESS: Edmonds 98020
BUSINESS OWNER: HOME PHONE: -
EMERGENCY-1: Mathews, Dan/Janice HOME PHONE:
KEY ACCESS-2: HOME PHONE:
FIRE PREVENTION
SAFETY -SURVEY
FREQUENCY
STATION& SHIFT
365
17 6
SCHEDULED
07)'01/08
DATE DI 1E 10
UFIR 10 4.22
7203
ACTIVE
INITIA INSPECTION DATE
PERSON CONTA CTED: oyfl�
NAME OF INSPECTOR: 7—/6
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DATE DUE:
2nd RE -INSPECTION
DATE DUE:
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EXTENSION
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DATE DUE:
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LETTER SENT
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NUMBER:
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2
6
DATE:
CODE
SECTION:
5
3
7
3
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RETURN RECEIPT
RECEIVED
6
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8
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DATE:
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LETTER NEEDED [] YES C] NO
[�JETTER NEEDED -0 YES 13 NO
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FIRE DEPARTMENT COPY Cfxpval I�Ixx
CITY OF EDMONDS
121 5TH AVENUE N. - EDMONDS, WASHINGTON 98020 - (425) 771-0215
FIRE DEPA:RTMENT
4S' t 8
LOCATION: 653 Bell Street
BUSINESS NAME: Shoreview Villa Condos
MAILING 653 Bell St,
ADDRESS: Edmonds
BUSINESS OWNER:
EMERGENCY- 1: Mathews, Dan/Janice
KEY ACCESS-2:
FIRE PREVENTION
SAFETY SURVEY
PHONE:
98020
HOME PHONE:
HOME PHONE: 4256721846
HOME PHONE:
FREQUENCY
STATION & SHIFT
365
17 A_
SCHEDULED
DATE DUE 11�
07/01/10
UFIR 1' 422
7203
ACTIVE
11 INITIAL INSPECTION DATE
PERSON CONTACTED: IjQ4 1:�_ I
NAME OF INSPECTOR: A A
FIRE
SYSTEMS:
ANNUAL
HAZARDS FOUND AND LOCATIONS COMMUNICATIONS
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ENTER CODE ONLY ONCE I�
VIOLATION CODE
1
2
2
3
3
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5
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6
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7
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11st 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:
E:
DATE:
3
VIOLATIONS
1 5
VIOLATIONS
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
18
DATE:
DISPOSITION:
El
\. LETTER NEEDED C] YES [3 NO
LETTER NEEDED 0 YES NO
t* FIRE DEPARTMENT COPY