1055 PUGET DR_1SNO
F
D
Serving Brier, Edmonds, and 12425 Meridian Ave S
Mountlake Terrace Everett, WA 98208
Phone (425) 551-1200
www.FireDistrictl.org Fax (425) 551-1272
FIRE PREVENTION
INSPECTION REPORT
❑ EDMONDS
❑ BRIER
❑ MOUNTLAKE TERRACE
❑ UNINCORPORATED
FREQUENCY
STATION & SHIFT
LOCATION: 1055 Puget Drive 98020
Annual
17-C
BUSINESS NAME: The Joyce Apts
PHONE:
4257128642
SCHEDULED Nov 2016
DATE DUE
MAILING
UFIR / 424
ADDRESS: 1055 Puget Drive, Edmonds, WA 98020
BUSINESS OWNER:
HOME PHONE:
EMERGENCY-1: Bacso, Joseph
HOME PHONE:
4257128642 CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY
YES NO
BUSINESS
❑
EMAIL:
LICENSE
PERSON CONTACTED:
INITIAL INSPECTION DATE
NAME OF INSPECTOR:
FIRE SYSTEMS: FE 44 j
Date Last Serviced:
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1
1
1
2
3
4
5
6
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
2
3
4
5
7
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, call (425) 775-7720; for
Mountlake Terrace or Brier, call (425) 744-6231.
f
.,
U G�-T 1 ,�
FIRE PRtVENTION
„
Serving Brier: Edmonds, and 12425 Meridian Ave S
INSPECTION REPORT
SNOHOMISH CO.
FIRE
Mozirtlake Terrace'
Everett, WA 98208
❑ EDMONDS
❑ BRIER
T
Phone (425) 551-1200
❑ MOUNTLAKE TERRACE
[1 UNINCORPORATED
.DISTR
wwwFireDistrictl.org
Fax (425) 55I-1272
FREQUENCY
STATION & SHIFT
LOCATION:
IO sr Puget drive @8020
Arulual
17'-A
BUSINESS NAME:
I he Jayc.c APW
PHONE: 426712854
SCHEDULED Nov ".1fl14
/
,DATE DUE
424
MAILING
UFIR /
ADDRESS:
106,55 Pugcl Drivc, Edfrardb, WA 08020
�.
+ r
BUSINESS OWNER:
HOME PHONE:
`EMERGENCY-1: -
Baum, Ja''Qph
HOME PHONE: 4257122
CURRENT
KEY ACCESS-2:
HOME PHONE:
CITY YES NO '
BUSINESS
El 1:1
} . EMAIL:
LICENSE
PERSON CONTACTED:
1 V
I V ��
INITIAL INSPECTION DATE
NAME OF INEffCTOR:
-�^-
t-IRE SYS ILMS:
FE 3113
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1
1
2
2
3
3
4 /
4
5
5
r
6 v
6
1
7
7
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
18
4
8
DATE:
DISPOSITION:
7
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
g
FIRE DEPARTMENT COPY
FIRE PREVENTION
i
j '_ Ser��lrrg Brio: Eclrnortcls, arrcl
12425 Meridian Ave S
INSPECTION REPORT
slvoxoIsx co.
Terrace
FIRE
Everett, WA 98208
EDMONDS
❑ BIER
DISTR T
Phone (425) 551-1200
❑ MOUNTLAKE TERRACE
❑UNINCORPORATED
i1�ti1°ti1:FireDistr•ictl.org
Fax (425) 551-1272
FREQUENCY
STATION & SHIFT
LOCATION: I0-1-65 Puget Drivm �9°.M0
Annual
17-0
BUSINESS NAME: I he Joy L� � is
PHONE: 4267128,542
DATE DUE �' SCHEDULED �OV 2413
MAILING
UFIR 4114 i
ADDRESS: 1 056 Pugcl Orivc. lzdmflw6i, WA 08020
BUSINESS OWNER:
HOME PHONE:
i
EMERGENCY-1: kiLgu, Jt).Seph
HOME PHONE: 41 y71',1854:1
CURRENT' i
KEY ACCESS-2;
HOME PHONE:
CITY YES NO
BUSINESS] ❑
EMAIL:
LICENSE i
�I
PERSON CONTACTED:
INITIAL INSPECTION PATE
NAME OF INSPECTOR: '"`�
3 v��
FIRE ' Y§`IEMS; FE !
HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1
1
2
2
3
3
4
4
5
6
5
6
7
7
I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THENEXT30 DAYS X
OOt Q�1€ -TU
—1 xv
1st RE -INSPECTION
DATE DUE:
.,,
2nd RE -INSPECTION
DATE DUE:
1
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:
a
2
6
2
3
4
6
7
6
DATE:
CODE
SECTION:
5
3
7
RETURN RECEIPT
RECEIVED
6
4
8
DATE:
DISPOSITION:
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
3
FIRE DEPARTMENT COPY