HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 2007-9-14
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: 0;{y I 67
TO: Building Department
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or locat.ion of building IDS 5~?<;4-,
Name of O\'mer ~l~/ 'vV') ~~' .
Type of building (;A/\'~f L, FCL-rh~r l/) ~A)-c-U ~
--. U'-"'~Dwelling, Store, \'Jar'ehouse, etc.)U
Estimated value of building $
Estimated loss to building $
Date of fiie 4/18" In I
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i 30>..020
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Location of damage in building
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
(Burned rafters, Beams, Joists, etc.)
Additional pertinent information ~~ ~~.A~J
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Electrical Hazard
(Wiring, Outlets, etc.)
Signed
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cc: