Loading...
HomeMy WebLinkAbout040-240-008R E X, a- ., . ... . ........ .......... ... . .. ... . ... DAMAGE'REPORT IRE OWNER. eoL� t7 CONTRACTOR: DATE TO INSPECTOR: 0 Budding Description: Commercial/Usage: Residential/# of Units: Currently Occupied AbandonedNacant Electric: Gas: DATE: A.P. ZONING: PERMIT HISTORY:( NONE AS FOLLOWS: BUILDING INSPECTOR'S REPORT Yes No Electric currently On Off Condition of Electric Natural Propane None. Obvious Problems: Currently On Off Sanitation: Plumbing Working__ Well Working Potable Water Obvious SewageProblems Description of Damaged Estimate Valuation of Damaged Area: Condition of Foundation: Mobile Home: Condition of Utilities: Inspector: Date. Sketch building on reverse and indicate area of damage. DF/BUTTE COUNTY FIRE INCIDENT LO DATE 7/13/99 INCIDENT NUMBER 6601 REPORT TIME 20:45 LOCAL FIRE NUMBER 10592 STATE FIRE NUMBER 0 CASE NUMBER 0 LOCATION 2369 FLORIDA LN RP IKATE HONE NUMBER 342-4454 COUNTY NOTIFICATIONS ❑ OES ❑ EMD ❑ WRA STATE WILDLAND FIRES STATE STRUCTURE FIRES STATE OTHER FIRE STATE MEDICAL AIDS STATE PSA/OTHER STATE HAZ MAT STATE ACRES LOGGED BY TS RO COSTELL STATION # 45 MEDICS: OFFICER 2113 B 496 N3 AGENCYID BUT LOCAL WILDLAND FIRES ❑ LOCAL ACRES LOCAL STRUCTURE FIRES RESIDENTIAL LOCAL OTHER FIRES LOCAL MEDICAL AIDS LOCAL PSA/OTHER: LOCAL HAZ MA INCIDENT NAME ISCOTT START TIME: 2040 CAUSE IPLAYING WITH FIRE LAND USE IDOMESTIC ACRES: O TYPE OF ACRES: DOLLAR DAMAGE1 36001 LOCAL TYPE $ DAMAGE: JALL OTHER SAVE 650000 DIAMOND #: 16.0 INJURIES/FATALITIES ❑ # CIVILIAN INJURIES: F 01# CNILIAN FATALITIES: �0 # FF INJURIES: � FF FATALITIES �0 FC -40 ❑ DATE OF FC40 INC SEN FAX STATION 45/TB AGENCY INC #: INC P# I LOG © INITIALS TB COMMENTS: