NYC 9/11 Public Portal Document
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IRE DEPARTMENT REFERRAI^PORT A-8 (9/33),91-138-R2&O437
Div. Batt. Co. D.O. Date 07-^/^
Premises LocationZip Code fPS ^8
Bldg. Owner Name Type of Occupancy/Bldg.
Bldg. Agent
Occupant Mailing Address Boro Zip Code
ITEM FILL IN ROOM/
NATURE OF REFERRAL LOCATION
NUMBER ITEM NO. FLOOR
1-E (Defective/Improper) Electrical Wiring
2-F No Grease Filter or Extinguishing System_____________ _
3-F No Sign Indicating Location of Fire Alarm Box_________
4-F Vacant Building Not Boarded Up_____________________
5-B Unenclosed Stairway_______________________________
6-B No Certificate of Occupancy______ __________________
7-B Unenclosed (Hoistway/Shaft)________________________
8-B No Secondary Means of Egress______________________
9-B Defective (Comice/Brickwork/Masonry)_______________
10-B Hole in (Wall/Ceiling/Floor/Fire-stopping) _____________
11-B Defective Chimney________________________________
12-B Structural Stability Affected_________________________
13-B Boiler Room Not Enclosed F.O. Acct. No.
14-B No Occupancy Sign Posted_______________________ _
15-B No Floor Load Sign,_______________________________
16-B Illegal Occupancy_________________________________
17-B No Protection for Metal Floor Supports_______________
18-B Multiple Dwelling—More Than 8 Familities—No Supt.
19-B Water Leak in Vicinity of Electrical Wiring_____________
72-F No Fire Dept. Permit for Fuel Oil__________ _________
. 73-F No Fire Dept. Permit for Diesel Oil—Emergency Generators
NOTE: Forward separate A-8 reports for Comb, items; Fire Prev. items; each Dept, concerned.
If Combustible Violations are involved, please provide Account Numberfs).
Remarks:
Initials of
Found By—Signi Rank^S^;^<2^^Unit Officer on Duty
Company Commander Rank Unit Date
FOR BUR. OF F.P. ONLY Referred
to: Dept. Date Report No.
RETURN TO: FIRE DEPARTMENT—BUR. OF FIRE PREVENTION, 250 LIVINGSTON ST., BROOKLYN, N.Y. 11201
TO BE FILLED IN BY FIRE DEPT. INSPECTOR: Div. Batt. Co. D.O._^ Date_a;Zr^
Owner, Agent or
Occupant—Name_______________________ Premises Location
Disposition Report No.
Signed Dept. Date
NYC-WTC_000168774
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