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Serving Brig.., __.... .Ids, and 12425 Meridian Ave S INSPECTION REPORT
Mountlake Terrace a Everett, WA 98208 ❑BRIER ❑ RIER S
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Phone- (425) 551-1200 ❑ MOUNTLAKE TERRACE
TYt'm, FireDistrict1. org Fax (425) 5 51-1272 ❑UNINCORPORATED
FREQUENCY STATION & SHIFT
LOCATION: 71 11 2 IG th Street SW 0028 Annual 16-A
BUSINESS NAME: PHONE: SCHEDULED
Nakano APB' 20ML7017 DATE DUE ► Ju1 2014
MAILING UFIR / 422
ADDRESS: 7111 2101 SIrccl SVV, Edmt nda, WA 0802E
BUSINESS OWNER: HOME PHONE:
EMERGENCY-1: Nakano. Slcw HOME PHONE: 20FE2ETqG4F, oe CURRENT'
KEY ACCESS-2: ' HOME PHONE: CITY YES NO
EMAIL: BUSINESS
LICENSE
INITIAL INSPECTION DATE
PERSON CONTACTED:`: d i-
NAME OF INSPECTOR:
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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
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DATE:
DATE:
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VIOLATIONS
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LETTER SENT
CITATION ISSUED
NUMBER:
4
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6
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DATE:
CODE
SECTION:
5
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RETURN RECEIPT.
RECEIVED-
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DISPOSITION:
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
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FIRE DEPARTMENT COPY
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FIRE-
Serving Brier, Edmonds
OHOMISH CO.
Mountlake Terrace,and
STR
the Town of Woodway, .
T
www FireDistrict]. org
LOCATION:
711 i210th Street
BUSINESS NAME'
Nakano Aptd
MAILING
11532 23td Av NE
ADDRESS:
Seattle
BUSINESS OWNER:
"Nakano, Steve"
EMERGENCY-1:
KEY ACCESS-2:
PERSON CONTACTED
NAME OF INSPECTOR
I FIRE
"'" YSTEMS:
Silk
FIRE PREVENTION
12425 Meridian Ave S• INSPECTION' REPORT
❑ BRIER
Everett, WA A208.. ❑ S
Phone (425) 551-1200 ❑ WOODWAY
[I MOUNTLAKE
Fax (425) 551-1272 ❑ UNINCO PORA EDACE
PHONE: 2063670175
08125
HOME PHONE: 2067250546
HOME PHONE:
HOME PHONE:
(,oA) C, dZ02-
FREQUENCY
STATION & SHIFT
366
16 Ci
SCHEDULED
DATE DUE / 07/01;13
UFIR ► 422
7207
ACTIVE
CURRENT
CITY YES NO
BUSINESS
LICENSE
INITIAL INSPECTION DATE
7-
FE I 1
ANNUAL
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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:
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
y
6
4
8
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
--
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
i v Serving Brier; Edmonds
12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
FIRE Mountlake Terrace,and
Everett, WA 98208
❑ BRIER S
❑BRIER
the Town of Woodway
DISTR, T
Phone (425) 551-1200
❑ WOODWAY
❑ TERRACE
WWW.FZY2DZSZYZCt1.Org
Fax (425) 551-1272
UNINCORPORATED
❑UNINCORPORATED
LOCATION: 7111 210th Street
Shy
FREQUENCY
366
I STATION & SHIFT
16 C
BUSINESS NAME: Nakano Apts
PHONE: 2063670175
SCHEDULED 071,01/12
DATE DUE
MAILING 11532 23rd Ay NE
UFIR ► 422 7207
ADDRESS: Seattle
98125
BUSINESS OWNER: "Nakano, Steve°
HOME PHONE: 2067250546
ACTIVE
EMERGENCY-'1:
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
PERSON CON�fACTED:
INITIAL I�NSP CTION DATE%
NAME OF INSPECTOR: �i ���'
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FIRE
FE _t_
SYSTEMS:
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1 ! l/VokA s
2
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2,
3
3
4
4
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I AGREE TO CORRECT THE ABOVE VIOLATIONS) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
DATE DUE:
2nd RE -INSPECTION
DATE I)UE:
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
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 ❑ YES ❑ NO
8
FIRE DEPARTMENT COPY
FIRE PREVENTION
Set Brief; Edmonds
1.. 4_ 5 Meridian Ave S
INSPECTION REPORT
srroxoMisx co.
❑BRIER S
`FIRE
Mountlake Terrace,and
Everett, WA 98208
❑BRIER
the Town of Woodway
STR
Phone (425) 551-1200
❑ WOODWAY
❑ AKE TERRACE
wwwFireDistrictl.org
Fax (425) 551-1272
UNINCORPORATED
❑UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION: 7111 210th Street
SW
366
16 B
BUSINESS NAME: Nakano AptS
PHONE: 206367®175
DATE DUE SCHEDULED 07/01/11
MAILING 11532 23rd Av NE
UFIR ► 422 7207
ADDRESS:
Seattle
98125
\
BUSINESS OWNER: "Nakano, Steven
HOME PHONE: 2067250546
ACTIVE
EMERGENCY-1:,
HOME PHONE:
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO
BUSINESS
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
J
FIRE
FE I I l l
SYSTEMS:
ANNUAL
11
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
Ol+1` ►11
1
2
2
3
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4
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5
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6
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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
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
2
6
2
6
DATE:
CODE
SECTION:
5
3
7
3
7
RETURN RECEIPT
RECEIVED
5
4
8
Q
6
DATE:
DISPOSITION:
7
LETTER NEEDED YES ❑ NO
❑
LETTER NEEDED ❑ YES El NO
8
FIRE DEPARTMENT COPY
CITY OF EDMONDS
121 5T AVENUE N. • EDMONDS, WASHINGTON 98020 • (425) 771-0215
FIRE DEPARTMENT
Est. 1890
LOCATION: 17,111 210th Street sw
BUSINESS NAME: Nakano Apts
MAILING 11532 23rd Av NE
FIRE PREVENTION
SAFETY SURVEY
PHONE. 2063 —7&I;t
ADDRESS: Seattle 93125
BUSINESS OWNER: "Nakano, Steve" HOME PHONE:
EMERGENCY-1: HOME PHONE:
KEY ACCESS-2: HOME PHONE:
FREQUENCY
STATION 8 SHIFT
366
16SCHA
DATEEDUEE ►
07/01/10
UFIR ► 422
7207
i
ACTIVE E
PERSON CONTACTED: /C/ v /V9"' INITIAL INSPECT ON DATE
NAME OF INSPECTOR: - / ~i
T �
FIRE FE IOS
;SYSTEM &
ANNUAL.
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
ENTER CODE ONLY ONCE ►
VIO I - CODE
1
2
2
3
3
4
4
5
5
6
6
7
7
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8
1st RE -INSPECTION
DATE DUE:
I
2nd RE -INSPECTION
DATE DUE:
EXTENSION
GRANTED TO:
FINAL RE -INSPECTION
DATE DUE:
VIOLATIONS
CITED:
PERSON
CONTACTED:
PERSON
CONTACTED:
PERSON
CONTACTED:
1
INSPECTOR AVi=L"WJ/�
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
4 .,,r�
8
DATE:
DISPOSITION:
7
8
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
FIRE DEPARTMENT COPY
September 28, 1984
MEMO TO: Bruce Finke
Associate Planner
FROM: Gary L. McComas
Fire Marshal
SUBJECT: FOUR UNIT APARTMENT BUILDING AT 7111-210TH ST. S..W.
(ADB-100-84)
After review, the fire department has the following comment:
The fire department has no requirements at this time.
Comments will be made at the time of review for build-
ing permit.
JDW:be