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Home My WebLink AboutDIS2011-00015 - FIR Inspections - 7/1/2011 4 MASON COUNTY FIRE MARSHAL ae l �-5� F 1�Q, �� Deft Cc4se-� b�� ao,�- moaf5 FIRE INVESTIGATION REPORT Completed by: MCFD Incident #: MCSO Case #: Incident Date: Address: /9 S) c� A4z-ok A-A Mason County Bldg. III — P.O. Box 186—Shelton, Washington 98584— FAX(360)427-7798— PHONE(360)427-9670 ext. 273 Fire Investigation Report By: MCFD Incident M MCSO Case M Incident Date: Address: 10/91 1, Genera/Incident Information Date: oq— o3 - --xo/o Spa$ Address: 19sl F R,4ZoR Reporting Party: Call Type: Time of Call: Dispatched: 2. Building Information Building Construction Type: V8 Building Use: U Fire Alarm System: A)04- Automatic Fire Sprinklers: N4-- Obstructions to Access or Fire Protection Equipment: N Position of Doors & Locks Upon Arrival: /v,4- 3. Occupant/Owner Information; Occupant: Occupant Phone: Owner: Owner Phone: Owner Address: 4, Insurance/Loss Information; Insurance Company: Agent: Agent Phone: Agent Address: Policy #: Policy Amount: Estimate of Loss Structure: Estimate of Loss Contents: 5. Origin and Cause Area of Origin: Point of Origin: Ignition Source: Cause: � A-7 tJ�LSu�d'3s Ft9L /4"L O�G- �- GHQ v/�(r �— Page 2 Fire Investigation Report By: MCFD Incident M MCSO Case M Incident Date: o9 - 03 - 0/0 Address: �51 I--- o,Q Fro-1 A , kJ-. Incident Narrative; -41-,5M-r j� V1,4 DESCRIPTION: owN ©�G7 vv �,��gtC yO�e /lviIl,�✓. �`Jv�:�,�Y OBSERVATIONS.' INTERVIEWS,' DOCUMENTATION.• OPINION: Page 3 1 lam- IT L w �' 2-y. 3 k A) MASON COUNTY FIRE MARSHAL Mason County Bldg. III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (360)427-9670 Ext.273 CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION PUBLIC EDUCATION Date 7- 1 — Re: Parcel # ( Z Z�2 75 C I Subject: Fire Investigation Report If you are looking for the investigation report for the above parcel number, it is with Barbara Adkins, Mason County Community Development Manager. She can be reached at(360)427-9670 #286.