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HomeMy WebLinkAboutDIS2011-00031 Fire Report - FIR Inspections - 12/1/2011 5"0 ooze MASON COUNTY FIRE MARSHAL'S OFFICE FIRE REPORT Address: 1571 NE Tahuya-Blacksmith Road Belfair, WA Date: 01-December-2011 Time: 1326 hrs Case #: 2F2011-1812 District Case #: 21`2011-1812 Investigator: J. Hicks, MCFD2 j Mason County Fire District 2 INCIDENT REPORT Official Law Enforcement Report-Unauthorized Dissemination is Prohibited Incident Type: Fire/Accidental Result Type: Agency Incident ID: 11-2F1812 BATS ID: 239698 Incident Date/Time/Location Status Jurisdiction Investigation Closed Primary Start Date/Time 12/1/2011 1:26 PM Thursday Address - Street Address 1571 NE Tahuya Blacksmith Road City/State/Zip Tahuya, WA 98588 Investigator Information yName Phone Email Jeromy N Hicks 360-275-6711 jhicks@mcfd2.com Title Deputy Fire Marshal Property Use or Target Information j Type Subtype Residential 1 (Single Family) or 2 Family Dwelling Page: 1 For Official Use Only , Mason County Fire District 2 INCIDENT REPORT Official Law Enforcement Report-Unauthorized Dissemination is Prohibited Incident Type: Fire/Accidental Result Type: Agency Incident ID: 11-2F1812 BATS ID: 239698 Scene Details Area of Origin/Device Placement Area of Origin Other Fire Descriptors Careless use or disposal of smoking materials Carelessness, lack of or disregard of fire safety principles Damage and Casualties Est. Damage Number Killed Number Injured $25000.00 0 0 Pre Incident Value Primary Gov't Association $100000.00 Property is Associated With County/Parish Government Miscellaneous Information ' Other Agencies Involved County FM Office Sky Conditions Precipitation Overcast None Temperature Humidity 37F 93% Page: 2 For Official Use Only Mason County Fire District 2 j INCIDENT REPORT Official Law Enforcement Report-Unauthorized Dissemination is Prohibited Incident Type: Fire/Accidental Result Type: Agency Incident ID: 11-2F1812 BATS ID: 239698 Insurance Insurance Information Insurance Company Name Insurance Type Foremost Insurance Homeowner Insurance Holder Insured's Name Bert Hedrick Telephone Office 360-990-7230 Policy Number 0640608010 Effective Date Expiration Date 5/12/2004 5/12/2012 Insurance Coverage Insurance Company Point of Contact Byron Rock Telephone Office Secondary Phone 800-527-3907 206-304-7477 Insurance Agent Point of Contact Propell Insurance Telephone Office 360-373-2595 Page: 3 For Official Use Only Mason County Fire District 2 f INCIDENT REPORT Official Law Enforcement Report-Unauthorized Dissemination is Prohibited Incident Type: Fire/Accidental Result Type: Agency Incident ID: 11-2F1812 BATS ID: 239698 Contact Arrival Requesting Person Requesting Agency Requested Arrival Date Scene Date Released Date Chief Scott Cooper Mason County Fire District 12/1/2011 12/2/2011 12/2/2011 2 3:30 PM 8:00 AM 12:00 PM Page: 4 For Official Use Only Mason County Fire District 2 INCIDENT REPORT Official Law Enforcement Report -Unauthorized Dissemination is Prohibited Incident Type: Fire/Accidental Result Type: Agency Incident ID: 11-2F1812 BATS ID: 239698 Subjects/Business Information Name Business Name PETERSON, BILL Next Door Neighbor Juvenile No Relationship(s) Witness _Address Information v :_� _a Street Address 1591 NE Tahuya Blacksmith Road City/State/Zip Tahuya, 98528 Primary Phone 360-275-4504 Street Address 1591 NE Tahuya Blacksmith Road City/State/Zip Tahuya, 98528 Contact Information Primary Phone 360-275-4504 Name Business Name HENDRICK, BERT C Property Owner Race Ethnicity Page: 5 For Official Use Only _ry Mason County Fire District 2 j INCIDENT REPORT 1 Official Law Enforcement Report-Unauthorized Dissemination is Prohibited Incident Type: Fire/Accidental Result Type: Agency Incident ID: 11-2F1812 BATS ID: 239698 Age at time of Incident 60 Juvenile No Relationship(s) Victim Address Information Street Address 1591 NE Tahuya Blacksmith Road City/State/Zip Tahuya, 98588 Contact Information Primary Phone 609-072-0000 Street Address 1591 NE Tahuya Blacksmith Road City/State/Zip Tahuya, 98588 Contactlnformation Primary Phone 609-072-0000 Page: 6 For Official Use Only Mason County Fire District 2 INCIDENT REPORT ' Official Law Enforcement Report-Unauthorized Dissemination is Prohibited Incident Type: Fire/Accidental Result Type: Agency Incident ID: 11-2F1812 BATS ID: 239698 Attachments Filename Description Date DSC 0053 inital.JPG Inital 12/2/2011 IMP, rMS - DSC 0054 side a.JPG 12/2/2011 DSC_0055 side b.JPG 12/2/2011 IBM DSC 0056 side c.JPG 12/2/2011 :f1 _ DSC 0057 side d.JPG 12/2/2011 Page: 7 For Official Use Only Mason County Fire District 2 INCIDENT REPORT Official Law Enforcement Report-Unauthorized Dissemination is Prohibited Incident Type: Fire/Accidental Result Type: y.r Agency Incident ID: 11-2F1812 BATS ID: 239698 s DSC_0066 room of origin facing NW Window 12/2/2011 NW window.JPG DSC_0072 point of origin prior to 12/2/2011 dig.JPG DSC_0077 post dig area of 12/2/2011 origin.JPG t DSC_0079 post dig point of 12/2/2011 origin.JPG lk- Page: 8 For Official Use Only Mason County Fire District 2 ` t INCIDENT REPORT Official Law Enforcement Report-Unauthorized Dissemination is Prohibited Incident Type: Fire/Accidental Result Type: �. Agency Incident ID: 11-2F1812 BATS ID: 239698 DSC 0080post dig area of 12/2/2011 origin.JPG rr- kclated Fire ',tiotcs.pdf File Notes/Dispatch Reports 12/5/2011 Page: 9 For Official Use Only Mason County Fire District 2 INCIDENT REPORT Official Law Enforcement Report-Unauthorized Dissemination is Prohibited Incident Type: Fire/Accidental Result Type: Agency Incident ID: 11-21`1812 BATS ID: 239698 Narrative(s) Title Author Origin and Cause Jeromy Hicks 3602756711 jhicks@mcfd2.com Description During the investigation of the residence it was noted that the most heaivly damaged area to the fire scene was the Southwest corner of the residence. This area contained the master bedroom and master bathroom. The area would be considered to contain an above average amount of items within the room. Upon examination of the fire area it was noted that most damage was caused directly to the Southwest corner of the bedroom. This area would later be identifed as between the bed and the exterior window. Within this area heavy charing was noted to both the wall and the bed frame. Notibly the area two feet from the side "B" wall and one foot from the side "A" wall showed the most significant damage. A large "V" pattern was noted on "AB" corner traveling up the wall touching the ceiling. The "V" pattern started at floor level next to a fire damaged plastic trash can. It is the opinion of this fire investigator that the fire orginated in the trash can, melting the plastic then traveling to near by class A combustibles. From there the fire traveled up the wall and laterally across the ceiling into the bathroom which had an open door. The fire was mostly contained to the bedroom due to fire stops located in the attic area, and the door being closed. There is no indication via interviews and/or physical evidence of incendiary involvement. Page: 10 For Official Use Only Mason County Fire District 2 INCIDENT REPORT Official Law Enforcement Report-Unauthorized Dissemination is Prohibited Incident Type: Fire/Accidental Result Type: �. Agency Incident ID: 11-21`1812 BATS ID: 239698 Title Author Inital Jeromy Hicks 3602756711 jhicks@mcfd2.com Description Contacted by Assistant Chief Scott Cooper via telephone indicating that there was a structure fire causing over $15,000 in damage. Chief Cooper indicated that the fire was contained to a bedroom and bathroom area and fire crews were still on scene overhauling. I advised Chief Cooper that I would be out early the following morning and to obtain occupant information and inital scene photos if possible. The occupant was staying locally and would be available via telephone. Page: 11 For Official Use Only Mason County Fire District 2 INCIDENT REPORT Official Law Enforcement Report-Unauthorized Dissemination is Prohibited Incident Type: Fire/Accidental Result Type: : Agency Incident ID: 11-2F1812 BATS ID: 239698 Title Author Chief Cooper's Report Jeromy Hicks 3602756711 jhicks@mcfd2.com Description "Bert-Charles-Hedrick Mr. Hedrick stated that he dumped an ashtray into a small garbage can located in the bedroom at the point of origin. He left his house at approx. 1:45 p.m. he said he put out a cigarette dumped the ashtray and left the house. Approx 1.5 hrs later he received a call from his neighbor saying his house was on fire. F.D. arrived to find heavy smoke,checked the windows A-B bedroom, attic eaves and rood eaves. FD forced entry, PPV 2in 2 out offensive attack side A simultaneously with ventilation from the front door via PPV and breaking out the A-side window." Page: 12 For Official Use Only Mason County Fire District 2 INCIDENT REPORT Official Law Enforcement Report-Unauthorized Dissemination is Prohibited Incident Type: Fire/Accidental Result Type: Agency Incident ID: 11-2171812 BATS ID: 239698 Title Author Owner Statement Jeromy Hicks 3602756711 jhicks@mcfd2.com Description Bert C Hedrick Mr. Hedrick stated to both fire crews and myself that at/around 1200hrs he was at home smoking,which was commonly done in his residence. He stated that he had just extinguished a cigarette in the ashtray next to his bed and then emptied the ashtray into the plastic garbage can located between the bed and the night stand. He then left the house. Around 1.5 hrs later(1330hrs)he received a call from his neighbor that his house was on fire. Mr. Hedrick them headed home from the Belfair area. Insurance information provided within this report. Page: 13 For Official Use Only Mason County Fire District 2 INCIDENT REPORT Official Law Enforcement Report-Unauthorized Dissemination is Prohibited itifth Incident Type: Fire/Accidental Result Type: Agency Incident ID: 11-2F1812 BATS ID: 239698 This section intentionally left blank Deputy Fire Ma hal - c s, J omy Date Approving Official Date Page: 14 For Official Use Only MA DSC_0053 inital.JPG DSC_0054 side a.JPG DSC_0055 side b.JPG DSC_0056 side c.JPG DSC_0057 side d JPG ��M,r �r�.`.�1i.,ta►�.�,' ^'� t� i i,gsss,�. _ � r''�� .d..1 DSC_0058 power DSC_0059 breakers.JPG DSC_0060 breakers w.JPG DSC_0061 inside side a DSC_0062 living room meter.JPG door JPG gt DSC_0063 smoke DSC_0064 room of origin DSC_0065 room of origin DSC_0066 room of origin DSC_0067 area of detector.JPG door way.JPG facing NW.JPG facing NW window.JPG origin.JPG t ,may DSC_0068 NE wall.JPG DSC_0069 facing bathroom DSC_0070 area or DSC_0071 inside DSC_0072 point of origin door.JPG origin.JPG bathroom.JPG prior to dig.JPG w DSC_0073 package possible DSC_0074 package possible DSC_0075 electrical wires w DSC_0076 electrical wires w DSC_0077 post dig area of contraband.JPG contraband.JPG -o beading.JPG -o beading 2.JPG origin.JPG ` a r DSC_0078 post dig area of DSC_0079 post dig point of DSC_0080post dig area of DSC_0081post dig area of DSC_0082post dig area of crigin.JPG origin.JPG origin.JPG origin.JPG origin.JPG DSC_0083 showing items secured.JPG '`1. • , "'�' fir?`. :a x..-..` �'�+�t.! ff' !, +, F?'- .:_ r..q,�r�_ •� { a 'f Its orffA - -----_ �� a 12, .t :•.,�.�.�r^.�1,� .{_ 4'-. .'fit ►, J, +S' p 1. 1 r t ♦ -_A..- � �,. x �'? s .. 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' 12/01/11 Mason County Emergency Communications 2122 16 : 08 FIRE Incident Table : Page : 1 Incident Number: 11-2F1812 '=ure : 24A.Structure Addr= 1591 NE TAHUYA BLACKSMITH RD Area: F073 2W-TAHUYA RIV City: Tahuya ST: WA Zip: 98588 Contact : contact Complainant& 160052 Lst : Peterson Fst : Bill Mid: DOB : / / SSN: - - Adr= 1591 NE TAHUYA BLACKSMITH RD Rac : Sx: Tel : (360) 275-4504 Cty: Tahuya ST: WA Zip: 98588 Condition Codes : FIRE Reported: FIRE Observed: Circumstances : Rspndg Officers : F02-Any Unit Cooper, Scott E21-Any Unit & Rspnsbl Officer: E21-Any Unit Agency: F02 Determinant : Received By: Field, Catharine Orig Number: How Received: T Telephone CAD Call ID: 11-043780 When Reported: 13 : 26 : 27 12/01/11 Last RadLog: 16 : 08 : 05 12/01/11 CM Occurrd between: 13 : 26 : 27 12/01/11 Disposition: ACT Disp Date : 12/01/11 and: 13 : 26 : 27 12/01/11 Misc Entry: MO : Narrative : Supplement : INVOLVEMENTS : T---)e Record # Date Description Relationship I 160052 / / Peterson, Bill *Complainant CA 11-043780 12/01/11 13 :26 12/01/11 24A. Structure *Initiating Call FIRE Conditions Detail : Fire Condition Codes Seq Code 1 FIRE Fire of Undetermined Type FIRE Incident Responder Detail Responding Officers Seq Name Unit 1 F02-Any Unit F02 2 Cooper, Scott F201 3 E21-Any Unit E21 4 A27-Any Unit A27 5 T21-Any Unit T21 6 T51-Any Unit T51 7 T81-Any Unit T81 8 DCRT-Any Unit DCRT 9 Garnett, Curtis F503 10 TAC53 TAC53 11 T83-Any Unit T83 Main Radio Log Table : Time/Date Typ Unit Code Zone Agnc Description , : 08 : 05 12/01/11 f E21 CM F073 F02 incid#=11-2F1812 rr completed o. : 07 :45 12/01/11 f E21 CL F073 F02 incid#=11-2F1812 In the Car, c 15 :24 :48 12/01/11 f E21 AR F073 F02 incid#=11-2F1812 Arrived on Sc 15 : 24 :39 12/01/11 f F073 F02 Call type f reopened and assig 15 : 23 :48 12/01/11 f F503 CM F073 F05 incid#=11-5F3928 Completed Cal 15 : 23 :48 12/01/11 f TAC53 CM F073 F05 incid#=11-5F3928 Completed Cal 15 :23 :47 12/01/11 f A27 CM F073 F02 incid#=11-2F1812 Completed Cal 15 : 23 :47 12/01/11 f DCRT CM F073 F02 incid#=11-2F1812 Completed Cal 15 : 23 :47 12/01/11 f E21 CM F073 F02 incid#=11-2F1812 Completed Cal 15 : 23 :47 12/01/11 f F02 CM F073 F02 incid#=11-2F1812 Completed Cal 15 : 23 :47 12/01/11 f F201 CM F073 F02 incid#=11-2F1812 Completed Cal 15 :23 :47 12/01/11 f T21 CM F073 F02 incid#=11-2F1812 Completed Cal 15 : 23 :47 12/01/11 f T51 CM F073 F05 incid#=11-5F3928 Completed Cal 15 :23 :47 12/01/11 f T81 CM F073 F08 incid#=11-8F0139 Completed Cal 15 : 23 :47 12/01/11 f T83 CM F073 F08 incid#=11-8F0139 Completed Cal 15 : 04 :30 12/01/11 f T83 CL F073 F08 incid#=11-8F0139 In the Car, c 14 : 56 :59 12/01/11 f TAC53 CL F073 F05 incid#=11-5F3928 In the Car, c 14 : 36 : 25 12/01/11 f TAC53 AR F073 F05 incid#=11-5F3928 Arrived on Sc 14 : 16 : 35 12/01/11 f TAC53 NOTE F073 F05 incid#=11-5F3928 passing st 21 14 : 00 : 57 12/01/11 f TAC53 AR F073 F05 incid#=11-5F3928 dawn dr conti 13 : 59 : 53 12/01/11 f F02 NOTE F073 F02 incid#=11-2F1812 secondary sea 13 : 58 : 59 12/01/11 f F02 NOTE F073 F02 incid#=11-2F1812 primary all c 13 : 55 : 14 12/01/11 f T83 ER F073 F08 incid#=11-8F0139 Enroute to Ca 13 : 54 :31 12/01/11 f F02 NOTE F073 F02 incid#=11-2F1812 RIT in place, 13 : 53 : 24 12/01/11 f F02 NOTE F073 F02 incid#=11-2F1812 power secured " 3 : 52 : 06 12/01/11 f TAC53 ER F073 F05 incid#=11-5F3928 Enroute to Ca : 48 : 51 12/01/11 f TAC53 ER F073 F05 incid#=11-5F3928 Enroute to Ca 13 :48 :41 12/01/11 f F02 NOTE F073 F02 incid#=11-2F1812 offensive fro 13 :48 : 08 12/01/11 f T21 AR F073 F02 incid#=11-2F1812 Arrived on Sc 13 :47 :42 12/01/11 f F503 PRET F073 F05 incid#=11-5F3928 Unit pretoned 13 :47 :42 12/01/11 f TAC53 PRET F073 F05 incid#=11-5F3928 Unit pretoned 13 :47 : 29 12/01/11 f F503 PRET F073 F05 incid#=11-5F3928 Unit pretoned 13 :44 : 36 12/01/11 f E21 AR F073 F02 incid#=11-2F1812 Arrived on Sc 13 :41 :44 12/01/11 f T81 ER F073 F08 incid#=11-8F0139 Enroute to Ca 13 :40 : 51 12/01/11 f T51 ASN F073 F05 incid#=11-5F3928 Assigned to C 13 : 37 : 51 12/01/11 f DCRT ER F073 F02 incid#=11-2F1812 Enroute to Ca 13 : 36 : 55 12/01/11 f F02 AR F073 F02 incid#=11-2F1812 226 call=47f 13 : 31 : 15 12/01/11 f T21 ER F073 F02 incid#=11-2F1812 Enroute to Ca 13 : 31 : 01 12/01/11 f A27 PRET F073 F02 incid#=11-2F1812 Unit pretoned 13 : 29 : 54 12/01/11 f E21 ER F073 F02 incid#=11-2F1812 Enroute to Ca 13 : 29 : 16 12/01/11 f F201 ER F073 F02 incid#=11-2F1812 Enroute to Ca 13 : 28 : 12 12/01/11 f F02 PRET F073 F02 incid#=11-2F1812 Unit pretoned 12/2/11 Mason County FD#2:2011-1812 I ' Location: Incident Type: 1591 NETahuya-Blacksmith RD 111- Building fire Tahuya WA 98588 FDID: 23D02 Lat/Long: Incident#: 2011-1812 rzR l T» N 470 27'18.91" Exposure ID: 3764529 W 1220 59'21.27" Exposure#: 0 Incident Date: 12/01/2011 Zone: 27-Tahuya Peninsula Location Type: 1-Street address Mason County FD #2 Station: 21 Shifts Or Platoon: A Report Completed by: Not Completed Report Reviewed by: Not Reviewed Report Printed by: Hicks, Jeromy N ID:8381 Date:12/2/2011 Time:07:25 Structure Type: Enclosed building I Property Use: 419- 1 or 2 family dwelling Automatic Extinguishment System Present: ❑ Detectors Present: ❑ Cause of Ignition: Unintentional Aid Given or Received: None I Primary action taken: 11- Extinguishment by fire service personnel Additional actions: 12-Salvage&overhaul,- Losses Pre-Incident Values Property: Property: Civilian Injuries: 0 Fire Service Injuries: 0 Contents: Contents: Civilian Fatalities: 0 Fire Service Fatalities: 0 Total: Total: Total Casualties: 0 Total Fire Service Casualties: 0 Total# of apparatus on call: 5 Total#of personnel on call: 7 APPARATUS Unit C21-5 _Unit E27 Type: Chief officer car _Ty_pe: Engine Use: Other _ Use: Suppression Response Mode: Lights and Sirens Response Mode: Lights and Sirens #of People 1 _ #of People 2 Injury Or Onset -- [--/-- -- : -- : -- _Inj_ur Or Onset -- Alarm_ 12/01/2011 13:26:27 Alarm 12/01/2011 13:26:27 Dispatched 12/01/2011 13:28:12 Dispatched 12/01/2011 13:28:12 Enroute 12 01/2011 13:29:16 Enroute 12/01/2011 13:29:16 Arrived 12/O1/2011 13:36:55 _Arrived 12/01/2011 13:36:55 Cancelled --_[_-/-- -- : -- : -- Cancelled -- /--/-- -- ' -- ' -- Cleared Scene 12 '01/2011 16:08:05 Cleared Scene 12/01 2011 16:0.8:05 In Quarters -- /--/-- --: --: -- In Quarters -- In Service 12/01/2011 16:08:05 In Service 12/01/2011 16:08:05 Unit E21 Unit T21 Type: Engine Type: Tanker or tender Use: Suppression Use: Suppression Response Mode: Lights and Sirens Response Mode: No Lights or Sirens #of People 2 #of People 1 Injury Or Onset -- /--/- --' -- ' -- Injury Or Onset -- Alarm 12/01/2011 13:26:27 Alarm 12/01/2011 13:26:27 Dispatched 12/01/2011 13:28:12 Dispatched 12/01/2011 13:28:12 Enroute 12/01/2011 13:29:16 Enroute 12/01/2011 13:29:16 Arrived 12/01/2011 13:44:46 Arrived 12/01/2011 13:48:08 Cancelled -- /--,-- --: -- : -- Cancelled -- Cleared Scene 12/01/2011 16:08:05 Cleared Scene 12/01/2011 16:08:05 In Quarters -- /_-/ -- : -- In Quarters -- https://secure.emergencyreporting.com/nfirs/print.asp?printtype=2&printtyp... 1/2 12/2/11 Mason County FD#2:2011-1812 • In Service 12/01/2011 16:08:05 In Service 12/01/2011 16:08:05 Unit POV Type: Privately owned vehicle Use: Other Response Mode: No Lights or Sirens #of People 1 Injury Or Onset -- /--/-- -- -- -- _Alarm _ 12 01/201113:26:27 Dispatched 12/01/2011 13:28:12 Enroute 12/01/2011 13:29:16 Arrived 12/01/2011 13:36:55 Cancelled -- /--/-- -- -- -- Cleared Scene 12/01/2011 16:08:05 In Quarters -- In Service 12/01/2011 16:08:05 Number Of People not on apparatus:0 FIRE Acres Burned 0 Acres Burn From Wildland False _ Form Area Of Fire Bedroom- < 5 persons; included are jail or Heat Source Hot ember or Origin prison _ ash --- Type Of Cause Of Ignition Unintentional Material STRUCTURE FIRE Structure Type Enclosed building Building Status In normal use _ #Of Stories At Above Grade 1 #Of Stories Below Grade 1 Square Feet 1200 Length Width Floor Of Origin 1 Fire Spread Confined to floor of origin Minor Damage 0 Significant Damage 0 Heavy Damage 0 Extreme Damage 0 CUSTOM FIELDS FORM MCFD8 Call? No. HIPAA Consent signature obtained or exception filled out properly? NO Procedures performed N/A Mileage at$1 per 1/10 mile 0 _ Total Billing_ _`...__ 0 Offered smoke detector NO Controlled Substance Administered or Used?(Versed,Ativan,Mqphine�Etomidate or Dem_ erol _ No Potential AED Program Participant _ _ NO Was this call a result of MCFD2 Auto Dialer Activation? NO https:Hsecure.emergencyreporting.com/nfirs/print.asp?printtype=2&printtyp... 2/2 1215/11 TerraScan TaxSifter-Mason County Washington MASON COUNTY WASHINGTON TAXSIFTER ix SIMPLE SEARCH SALES SEARCH REET SIFTER COUNTY HOME PAGE CONTACT DISCLAIMER Melody Peterson Mason County Assessor PO Box J Shelton, WA 98584 Assessor Treasurer Appraisal MapSifter Parcel Parcel#: 22330-50-00240 Owner Name: BERT C HEDRICK Land Use Code: 18 - Residential - All other Addressi: 30 NE LAKE DR Situs: 1591 NE TAHUYA-BLACKSMITH RD TAHUYA Address2: Map Number: City,State: TAHUYA WA Status: Zip: 98588 Description: HAVEN LAKE TR. 240 Comment: 2011 Market Value 2011 Taxable Value 2011 Assessment Data Lanr d: — $30,000 Land: i0 District: 0262 - Tax District 0262 for 2011 Improvements: $82,425 Improvements: $82,425 Current No Permanent Crop: $o Pemianent Crop: Use/DFL: 0 Total $112,425 Total $112,425 Total Acres: I 0.00� Ownership Owner's Name Ownership HEDRICK, BERT C 100 % Sales History Sale Date (Sales Document #Parcels lExcfse # Grantor Grantee Price 03/21/00 11708341 1 200000000 JUDY M HEDRICK BERT C HEDRICK $0' 05/15/95 607574 1 199532219 jJAMES H&BETTY L HOLT BERT C&JUDY M HEDRICK $0 07/26/89 496647 1 198902368 NORMAN P WRIGHT ET UX JAMES H HOLT ET UX (BETTY L) $4,000 Historical Valuation Info !Year Billed Owner Land Impr. PermCrop Value ITotal Exempt Taxable 2011 HEDRICK, BERT C $30,000 $82,425 $0 $112,425 $61,6551 $41,105. 2010 HEDRICK, BERT C $15,0001 $87,760 $0 $102,760 $61,6551 $41,105 2009 HEDRICK, BERT C I $15,000 $87,760 $0; $102,760 $61,655! $41,105 2008 HEDRICK, BERT C $15,000 —$87,760�-- $01 $102,760� $50,000 $52,760 2007 HEDRICK, BERT C __�_ $15,000 $87,760, $0 $102,760, $50,0001 $52,760 View Taxes Parcel Comments property.co.mason.wa.us/Taxsifter/Assessor.aspx?keyId=2985515&parcel,.. 1/2 Mason County Map Output Page • Mason County Map r 1• •.. I ! 1721 HE TAHUYA BL&KSLNTH RE) P-1 t LEGEND tax: �M Roads � Fad"lands W i 1701 NE TAHUYA BLAGKSTH RD I�I� f' /'�/W�wm {J�1�'� C1tYot9fNpon l NE TAHUYA BLAGKSMTH RDUj We"a slim" Countyampowy MM) W 221 NE rA,LE VIEW DR x .� .`W � (�C1Ml � �bTIIIMMWIM'a/t/ICI1 � 2 1081 HE TAHIJYA 91 AGKBOTH*� �, •.� `` rOAfl LakeS 18/ME LAKE DR � Uware, i Pll9K$p{Kld a .� 1051 NE"TAHUYA BLACKSIATH RD i L � I } ' 1011 NF TAHUYA BLACKSIu11TH RD or r 111 NE LAKE DR t,A+ , 1591 NF TAHUYA BIAGKSLMTH RD r DISCLAIMER AND LIMITATION OF LIABILITY: fi S r The data used to make this map have been tested for f >�a1 HE LAKE D� � accuracy,and every etbrt has been mile to ensure that s 110 ME LAKE UR + these data are timely, accLuate and reliable. However, AKE >i 102 NE LAKE DR Mason County makes no guarantee or warranty to its accuracy as to labeling, dimensions,or placement or • S� > location ofany map @atures contained herein.The boundaries depicted by these data are approximate,and am 1551 NE 7AHU B�:GKSLAITH RD M• � + . '• , not necessarily accurate to surveying or engineering ]31 NE EAGLE b'IEW r1R '! r ;! �'_A100 NE LAKE DR standards, and are intended for infDrmational purposes Y` 80 NF rAKE DR T 2 only. Mason County does not assume any legal liability ,Z �+ or responsibility arising from the use ofthis map in a #, h manner not intended by Mason County. In no event shall +I� • v A d y =,� Mason County be liable br direct, indirect, incidental, +•> m ` �4 ~ 00 NE LAKE DR��' consequential,special,or tort damages ofany kind, including,but not limited to. loss ofanticipated profits or .� ►1i NE benefits arising from use ofor reliance on the infxmation L�f P 50 AKE DR a � � contained herein • �' d s` �t ©2009-Mason County GLS ' + 100 W. Public Works Dr ti 1lP1 NF TAHUYA BLACK5I+MTH RD JO NE LAKE DR _ • �• Y Wr Shelton, W A 9ViM }, r � Haven Leh, 10 NE LAKE DR y� l a r t t � rtfj. t • •M t ` s • • � • +i • a. M dp 41 419 46, iC81 '� Goo earth 11 glemeters ' r y .. IT lr ule INCII)CN r 17UI IM 4 It r,51'U,gN—U--L-•.f-t5; ------_—___....__--------.-__.. -------_._...---...----------------• ----- UNITS RUSPON1)INC; �1.2f _.•,_„_ 1?•7.1 1'•7f It-71 1t-21 A-7 f —.-•_-• .----- 1'•22 ------ A•2,1__.. _ I? 2,1_. _.... 1�-24 1i-7.5 1?-26 U-2.7 A-27 '1'-77 l?t1U11'ilrisN'1' U51iU, 1 1141, 7 112" tIQUI!'MUN'I' 1,USTIOAMACT-1), 1 5TINIA'i'1?1l (:Al.,r,ON i IVA'I rill U,SUP; INJURIES I-T,; If I'ATAIJIT; UIIR-:11 IN)ICIVII.., t r rA'1'At,/CI V; A I'tAGI IMEN r I?S'1'IMA'11,i) t,(ISS, !'1ltt?: ,))` 51�Is)I<FJWA'11iit: USTI MAI FID VAlMP! � i 1:511NIA'I1:1 MSPAV1's: CONS-IItUCI'tON; 'IYI'U: Z'I tk il(lW! SMOKE I)1?'1 UC (M; v - N - (WEI(A I MN: Y_._-- N .._.__.. f'Ift(? 1'ItCT1 iiC1 IUN 1?(1Urf'MI?N i; V_ N tl1'UItA l IUN: V N 1'IK)IIAiil.,r l'AREAMOINT O OIMAN;—_ 1'KUIIAHLI? EQUIP. INV. IN IGNI I ION; tVli,l)t..ANU rlitl?;; AREA I I'. v N—_-•_., Nil . V N — INVUSFf(;A'1IUN; 1'ICItJIt!?S: Y N NAIMA-111): Y N it /Vlit)1 %Vlltl INV.t SUftIAL fl Mt)1)1?1,ft rtntr��; Itrt,. DISPATC11F.M. 151,011h AltltiVl?t1: I'Al'l'./AVAII,t I,AS17O ,UAR'1'. Sf(:N/1'It►Itli f.l RANK (11'1'i;►tS(lN 1'l►.1,lN(: (ll►i'Itl;l'(l►t 1'; \ I'tuln ?. 4 FZREFZGHTER .OBSERVATION, REPORT incident Lo6ati6n `^"J /7 vl e,�11 / A` r Incident Number / ___ _ Date of Fire Report Writer RESONDING Vehicle responded with Position apparatus (private,engine or truck) { PinA.l approach route - j Were you first to arrive at scene?_ If not, who was? (first, second, third) Obstruction to reponse-or,.building access? ;.. APPROACHINd THE SCENE. Visible flame? From where? Color Visible smoke? r9✓� �� (CtJ f -7 Color y 'A T Locations from which smoke was emitting (Windows, doors, chimney, roof, etc.) j Persons or vehicles leaving scene -- (Color, type, model, ,license,..,or,.physical, descriptien of persons) , , ._ ; ARRIVAL AT SCENE Approx, number of spectators . Recognize anyone acting unusual? (Name, address, sex, race, age, height, build, complexion, hair color, etc.) Did anyone offer their help?_ . Who? (Deseription of. individual) bolice .6fficers on scene?,.,. ,mop .Hydrant problems? , I . .. _.. (Broken stem, tight cap, stripped threads, parked cars) Jiwheae or P.I. problems? -- ,� (Plugged, tight cap, stripped threads, etc.) arctMITY Or BUXLDING Where did you initial1 .gain enti`y71 ­ 7 ID ,` Was forcible entity necesei.y e.:,A. Was door (window) - damaged?�/ LOGetitsr, of window anct moor ft)r access or.ventilation (were - r. 16ckad, standing open' 1 brokenYeE6_j "� :'~���"� .. ���. -•.. /� -'J(.tom Lcc4ticn of glass from b 6keri-virid6 iii"'(which'vtitidbw and 'was it inside or outside)? :...., ..: . _... ... MAWN COUNTY TIRE"MARSHAL ;... _ P. 0. Box 186 Shelton,' WA` 98684 t Unusual openings in wall, floor or ceilings? Where? Inoperative sprinkler heads or fire doors? 114 Where? OTHER FACTS Describe any unusual odors and in what areas strongest Describe any unusual flammables or combustibles you suspected and their location EXTINGUISHMENT Describe agea first extinguished to area last extinguished - �cM Was the fire unusually easy or difficult to extinguish? Explain. 1� ias there anything unusual aobut this fire? Explain. NARRATIVE Very briefly describe-What did you do during the fire? Use this space also to note any other observations you feel important which are not.noted above. This material will be kept for you information in the future and as an aid in the investigation of this fire. ke- I �, C r7 4 7 a� q ItL �',;�, I z►�,-w s y , fi/, V t-�J hA/P.�► � -ram .,� �� �� � u z,7 V`'��/b � Signature/Date' X i, . � . � _. _. n 1 ! ��v ____._. �,�� s��1 �± 1 ��� � � � i . -�-----r�------- • A215/11 TerraScan TaxSifter-Mason County Washington (0 MASON COUNTY WASH I NGTO N TAXSI FTE R SIMPLE SEARCH SALES SEARCH REET SIFTER COUNTYHOME PAGC- CONTACT DISCLAIMER Melody Peterson Mason County Assessor PO Box J Shelton,WA 98584 Assessor Treasurer Appraisal MapSifter Parcel Parcel#: 22330-50-0024G owner Name: BERT C HEDRICK Land Use Code: 18- Residential - All other Addressl: 30 NE LAKE DR Situs: 1591 NE TAHUYA-BLACKSMITH RD TAHUYA Address2: Map Number: City,State: TAHUYA WA Status: Zip: 96588 Description: HAVEN LAKE TR. 240 Comment: 2011 Market Value 2011 Taxable Value 2011 Assessment Data !Land: _ $30,000 Land: _ $30, 00 0District: 0262 - Tax District 0262 for 2011 Improvements: $82,425 Improvements: $82,4251 I Current No I Permanent Crop: $0 Permanent Crop: $ Use/DFL: � Iota! $112,425, Total $112,425 rr�--otal Acres: _ 0.00 Ownership Owner's Name i+ Ownership HEDRICK, BERT C 100 % Sales History Sale Date Sales Document #Parce— .Is E else# !Grantor Grantee Price 03/21/00 1708341 1 200000000 JUDY M HEDRICK BERT C HEDRICK $0 05/15/95 607574 1 1199532219 iJAMES H&BETTY L HOLT BERT C&JUDY M HEDRICK i$0 07/26/89 496647 11 1989023b8 fNORMAN P WRIGHT ET UX JAMES H HOLT ET UX (BETTY L) $4,000 Historical Valuation Info Year Billed Owner � I Land Impr. PermCrop Value !Total Exempt Taxable 2011 1 HEDRICK, BERT C j $30,000 $82,425 $0 $112,425 $61,655 $41,105 2010 HEDRICK, BERT C $15,000 $87,760 $0 $102,760 $61,655 $41,105 2009 HEDRICK, BERT C ! $15,000 $87,760 $0 $102,760 $61,655 $41,105 2008 HEDRICK, BERT C $15,000 $87,760 $0 $102,760 $50,000 $52,760 2007 HEDRICK, BERT C I $15,000 $87,760 $01 $102,760 $50,000 $52,760 View Taxes Parcel Comments property.co.mason.wa.us/Taxsifter/Assessor.aspx?keyld=2985515&parcel... 112 Mason County Map Output Page 1 _ y Mason County Map LEGEND - Y' Roads F@dsxa!Lends ��H 91msTy5 Qtp of.Belton a, - ~ -, Rrtxs A.Shea ns rq Caay boundary IOt'v4 �aroals c mrr>tsslover Dmutds a,.• _._. ii z as N e i S®c�on5ce rages 7t»mshdls Paget sc€ ;i d Major takes t i i i i I DISCLAIMER AND LIMITATION OF LIABE ITY: The data used to make this map have been tested for a` accuracy,and every eEbrt has been made to ensure that nr, these data are timely,aoc rate and reliable. However, o¢ Mason County makes no guarantee or warranty to its aecutacy as to labeling,dimensions,or placement or �y location ofany map features contained herein_The boundaries depicted by these data are approximate,and are not necessarily accurate to surveying or engineering i c ° standards,and are intended for informational purposes only-Mason Comity does not assume any legal liability or responsibility arising from the use ofthis map in a manner not intended by Mason County.In no event shall V � Mason County be liable for direct,indirect,incidental, consequauial,special,or tort damages ofany kind, >q including but not limited to,loss ofanticipated profits or vbexrcfits arising from use ofor reliance on the intimation contained herein 2 "1` ©2009-Mason County CIS b 100 W.Public Works Dr She lton,WA 98584 �hwn Lake z 1/1 40 G-ooslc'far►f T120f:J.G041-e, +I,i ey icalI�urveyf , 12/01/11 Mason County Emergency Communications 2122 16 : 08 FIRE Incident Table: Page: 1 -ncident Number: 11-2F1812 _Jature : 24A. Structure Addr= 1591 NE TAHUYA BLACKSMITH RD Area : F073 2W-TAHUYA RIV City: Tahuya ST: WA Zip : 98588 Contact : contact Complainant& 160052 Lst : Peterson Fst: Bill Mid: DOB: / / SSN: - - Adr= 1591 NE TAHUYA BLACKSMITH RD Rac: Sx: Tel : (360) 275-4504 Cty: Tahuya ST: WA Zip: 98588 Condition Codes: FIRE Reported: FIRE Observed: Circumstances: Rspndg Officers : F02-Any Unit Cooper,Scott E21-Any Unit & Rspnsbl Officer: E21-Any Unit Agency: F02 Determinant : Received By: Field, Catharine Orig Number: How Received: T Telephone CAD Call ID: 11-043780 When Reported: 13 :26 : 27 12/01/11 Last RadLog: 16 :08 : 05 12/01/11 CM Occurrd between: 13 :26 : 27 12/01/11 Disposition: ACT Disp Date : 12/01/11 and: 13 :26 :27 12/01/11 Misc Entry: MO: Narrative: Supplement : INVOLVEMENTS : "'ype Record # Date Description Relationship ATM 160052 / / Peterson, Bill *Complainant CA 11-043780 12/01/11 13 :26 12/01/11 24A.Structure *Initiating Call FIRE Conditions Detail : Fire Condition Codes Seq Code 1 FIRE Fire of Undetermined Type FIRE Incident Responder Detail Responding Officers Seq Name Unit 1 F02-Any Unit F02 2 Cooper, Scott P201 3 E21-Any Unit E21 4 A27-Any Unit A27 5 T21-Any Unit T21 6 T51-Any Unit T51 7 T81-Any Unit T81 8 DCRT-Any Unit DCRT 9 Garnett, Curtis P503 10 TAC53 TAC53 11 T83-Any Unit T83 Main Radio Log Table : mime/Date Typ Unit Code Zone Agnc Description -6 : 08 : 05 12/01/11 f E21 CM F073 F02 incid#=11-2F1812 rr completed 16 : 07 :45 12/01/11 f E21 CL F073 F02 incid#=11-2F1812 In the Car, c 15 :24 :48 12/01/11 f E21 AR F073 F02 incid#=11-2F1812 Arrived on Sc 15 :24 :39 12/01/11 f F073 F02 Call type f reopened and assig 15 :23 :48 12/01/11 f F503 CM F073 F05 incid4=11-5F3928 Completed Cal 15 :23 :48 12/01/11 f TAC53 CM P073 F05 incid#=11-5F3928 Completed Cal 15 :23 :47 12/01/11 f A27 CM F073 F02 incid#=11-2F1812 Completed Cal 15 : 23 :47 12/01/11 f DCRT CM F073 F02 incid#=11-2F1812 Completed Cal 15 :23 :47 12/01/11 f E21 CM F073 F02 incid#=11-2F1812 Completed Cal 15 :23 :47 12/01/11 f F02 CM Y073 F02 incid#=11-2F1812 Completed Cal 15 :23 :47 12/01/11 f F201 CM F073 F02 incid#=11-2F1812 Completed Cal 15 :23 :47 12/01/11 f T21 CM F073 F02 incid#=11-2F1812 Completed Cal 15 :23 :47 12/01/11 f T51 CM F073 F05 incid#=11-5F3928 Completed Cal 15 :23 :47 12/01/11 f T81 CM F073 FO8 incid#=11-8F0139 Completed Cal 15 :23 :47 12/01/11 f T83 CM F073 F08 incid#=11-8F0139 Completed Cal 15 : 04 :30 12/01/11 f T83 CL F073 F08 incid#=11-8F0139 In the Car, c 14 :56 :59 12/01/11 f TAC53 CL F073 F05 incid#=11-5F3928 In the Car, c 14 : 36 :25 12/01/11 f TAC53 AR F073 F05 incid#=11-5F3928 Arrived on Sc 14 :16 :35 12/01/11 f TAC53 NOTE F073 F05 incid#=11-5F3928 passing st 21 14 : 00 :57 12/01/11 f TAC53 AR F073 F05 incid#=11-5F3928 dawn dr conti 13 : 59 :53 12/01/11 f F02 NOTE F073 F02 incid#=11-2F1812 secondary sea 13 :58 :59 12/01/11 f F02 NOTE F073 F02 incid#=11-2F1812 primary all c 13 : 55 : 14 12/01/11 f T83 ER F073 F08 incid#=11-8F0139 Enroute to Ca 13 : 54 :31 12/01/11 f F02 NOTE F073 F02 incid#=11-2F1812 RIT in place, 13 :53 :24 12/01/11 f F02 NOTE F073 F02 incid#=11-2F1812 power secured 1.3 :52 : 06 12/01/11 f TAC53 ER F073 F05 incid#=11-5F3928 Enroute to Ca 3 :48 : 51 12/01/11 f TAC53 ER F073 F05 incid#=11-5F3928 Enroute to Ca 13 :48 :41 12/01/11 f F02 NOTE F073 F02 incid#=11-2F1812 offensive fro 13 :48 : 08 12/01/11 f T21 AR F073 F02 incid#=11-2F1812 Arrived on Sc 13 : 47 : 42 12/01/11 f F503 PRET P073 F05 incid#=11-5F3928 Unit pretoned 13 :47 :42 12/01/11 f TAC53 PRET F073 F05 incid#=11-5F3928 Unit pretoned 13 :47 : 29 12/01/11 f F503 PRET F073 F05 incid#=11-5F3928 Unit pretoned 13 :44 :36 12/01/11 f E21 AR F073 F02 incid#=11-2F1812 Arrived on Sc 13 : 41 :44 12/01/11 f T81 ER F073 F08 incid#=11-8F0139 Enroute to Ca 13 :40 :51 12/01/11 f T51 ASN F073 F05 incid#=11-5F3928 Assigned to C 13 : 37 :51 12/01/11 f DCRT ER F073 F02 incid#=11-2F1812 Enroute to Ca 13 : 36 : 55 12/01/11 f F02 AR F073 F02 incid#=11-2F1812 226 call=47f 13 : 31 : 15 12/01/11 f T21 ER F073 F02 incid#=11-2F1812 Enroute to Ca 13 : 31 : 01 12/01/11 f A27 PRET F073 F02 incid#=11-2F1812 Unit pretoned 13 :29 :54 12/01/11 f E21 ER F073 F02 incid#=11-2F1812 Enroute to Ca 13 :29 :16 12/01/11 f F201 ER F073 F02 incid#=11-2F1812 Enroute to Ca 13 : 28 : 12 12/01/11 f F02 PRET F073 F02 incid#=11-2F1812 Unit pretoned 112,2 11 Mason County FD#2:2011-1812 ' Location: Incident Type: 1591 NETahuya-Blacksmith RD 111-Building fire I Tahuya WA 98588 FDID: 23D02 Lat/Long: Incident#: 2011-1812 IFIR DIft N 470 27'18.91" Exposure ID: 3764529 W 1220 59121.2711 Exposure#: 0 ------ — Incident Date: 12/01/2011 Zone: 27-Tahuya Peninsula Location Type: 1-Street address Mason County FD #2 Station: 21 Shifts Or Platoon:A Report Completed by: Not Completed Report Reviewed by: Not Reviewed Report Printed by: Hicks,Jerorry N ID:8381 Date:12/2/2011 Time:07:25 Structure Type: Enclosed building IProperty Use: 419- 1 or 2 family dwelling Automatic Extinguishment System Present: Detectors Present: Cause of Ignition: Unintentional Aid Given or Received: None I Primary action taken: 11-Extinguishment by fire service personnel Additional actions: 12-Salvage&overhaul,- Losses Pre-Incident Values Property: Property: Civilian Injuries: 0 Fire Service Injuries: 0 Contents: Contents: Clvillan Fatalities: 0 Fire Service Fatalities: 0 Total: Total: Total Casualties: 0 Total Fire Service Casualties: 0 Total#of apparatus on call: 5 Total#of personnel on call: 7 APPARATUS _Unit C21-5 _Unit E27 Type: Chief officer car Type: _ Engine Use: Other _ Use: _ Suppression Response Mode: Lights and Sirens Response Mode_ _ Lights and Sirens #of People 1 _ #of People 2 Injury Or Onset -- /--[— -- -- — _ Injury Or Onset — Alarm_ 2011 13:26:27 f_ Alarm _ 12 01 2011 13:26:27 �Dispatched� 12/01/201113:28:12 Dispatched 12 01f201113:28:12 _ —Enroute 12/01/2011 13:29:16 _ Enroute 12/01/22011 13:29:16 _Arrived_ 12/01/2011 13:36:55 Arrived 12/01/2011 13:36:55 Cancelled -- [-- -- --: —-� Cancelled���_ _ --f-- — — -- _ —Cleared Scene 12/01/2011 16:08:05 Cleared Scene 12/9112011 16:08:05 in _Quarters -- /—/-- -- : -- : -- In Quarters -- -- In Service u 12/01/2011 16:08:05 �In Service _ 12102011 16:08:05 Unit E21 Unit T21 Type: EngineType: Tanker or tender Use: Sy p esson Use: Suppression Response Mode` Lights and Sirens__ __ Rtponse Mode: _ No Lights or Sirens #of People 2 #of People_ 1 Injury Or Onset -_/--/— — -- —Injury Or Onset -- 1--/— -- - Alarm 12/0112011 13:26:27 _Alarm 12/0112011 13:26:27 Dispatched 12/01%2011 13:28:12 _ Dispatched 12/0�011 13:28:12 Enroute _ 12 01 011 13:29:16 Enroute 12/01/2011 13:29:16 _ Arrived T 12/01/2011 13:44:46 Arrived 12/01/2011 13:48:08 _ Cancelled -- /—/— -- : --: -- Cancelled Cleared Scene 12/Q1L2011 16.08:05 _Cleared Scene 12/01/2011 16:08:05 —In Quarters -- / [— - --: -- —In Quarters https://secure.amergencyreporting.com/nfirs/print.asp?pOnttype=2&pHnttyp... 1/2 • 42/2/11 Mason County FD#2:2011-1812 In Service 12/01/2011 16:08:05 In Service 12/01/2011 16:08:05 _Unit POV Type: Prlvately owned vehlcle Use: _ Other _ Response Mode: No Lights or Sirens #of People 1 Iniury Or Onset Alarm 12/01/2011 13:26:27 Dispatched 12/01/2011 13:28:12 Enroute _12/01/2011 13:29:16 Arrived 12 l 1113:36:55 Cancelled — _ Cleared Scene 12/01/2011 16:08:05 __ n Quarters In Service_ 12/01/2011 16:08:05 __i� Number Of People not on apparatus:0 _ FIRE Acres Burned 0 Acres Burn From Wildland False Form _-- Area Of Fire Bedroom-< 5 persons; included are jail or Heat Source Hot ember or Origin �prlson_ _ _ _ _ ash Type Of Cause Of Ignition Unintentional Material STRUCTURE FIRE _Structure Type __ _Enclosed bulldinq Building Status In normal use _#Of Stories At Above Grade 1_ _ #Of StoriesBe low 1 --Square Feet 1200 Length _ _ Width Floor Of Origin 1 _Fire Spread Confined to floor of origin Minor Damage^ 0 _— Significant Damage �0 Heavy Damage._,,.._ 0 Extreme Damage 0 CUSTOM FIELDS FORM MCFD8 Call? No. _ HIPAA/Consent signature obtained or exception filled out properly_? NO _Procedures performed Mileage at_ leer 11_10 mile 0 —Total Billing �— 0 Offered smoke detector _ _ _ NO Controlled_Substance Administered or Used? Versed Ativan,Morphine,Etomidate or Demerol_ No —PotentialAED, Program Participant Y NO Was this call a result of MCFD2 Auto Dialer Activation? NO https://secure.emergencyraporting.com/nfirs/print.asp?printtype=2&printtyp... 2/2 .Y. MASON COUNTY :' Iinild iut'Uclnuiva•n VF irr�I,ir,.hal NOTICE IS HEREBY GIVEN T11AT THIS MUST NOT BE OCCUPIED �i VNVII,INS PG.(`IIA)A1PAVVKO D FOIZO('c1lP1tiCl` (360) 427-9670, extension 3.52 .� WARNING Q cQ\� DIS2011-00031,taken by LAW on 12.2.2011,#1 of 5.jpg 2/02/2011 �o _:_++ram' -,....:•.,..r' , II Y ',1 �"�(i,G>rl.�'.:N'�bAiw.P..�.wq�+'s';..r 1,iv`s%*-:. •�3r;,..:sr - - .. 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