HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 1998-12-12
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FIRE DAMAGE REPORT
OR
EL~CTRICAL HAZARD
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. DATE:J 2.. - (1- - .'1~
TO: Bu i 1 di ng Depa rtment
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
'Address or location of building Sr z'u ~tvL(..I;,cJ,\e..
Name of owner 16.lN\; R't-rlA~\....l'e;.",,- -(~c.~ St-ef)'441'\1"e:. /'1L(dJf\}ur)
Type of building D/,Jdl':"'.511 f)ufl,.", '.
. ('DWelling, Store" l~arehouse, etc.)
. Estimated value of building $1 ?"OOO()
Estimated loss to building $ $' 000
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Da te of fi re i 2.- /2...-,6'
Location of damage in building b.ltlls Jao cz,,-.r(;.\~.:. o.._~
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a.x<.~ c......rIJ~ h;c b0;<
(Roof, Wall, Exterior, Interior, etc.)'
Structural weakness as a result of the fire ~~~t' :}-0 L-Q.:-.-.u"" ~JA
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vu U :III\.
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\, J,---; .ru~""\. t:..-2.- '1wro:;.~-e: . - ~Vl~ C o~'^- -L\ t-o I J.ll r l J
(Burned ra~ers, Beams~ JOlsts, etc.)' u,,' .
Additional pertinent information O<..L""'1"r-:A ~)d~c!.:t. '^-~r-. kCo.-\.l~
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Electrical Hazard ~jc..J..c.:A-<.~:'" .~~ bVv'~ - rl-F.F /tut/J/t- Wl;'~<;
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fv:e box,
. (~Ji ri ng, Out1 ets, etc.)
Signed
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