HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 1992-6-26
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
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DATE: (9" .1 (., .. q 1.
TO: Building Department
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
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Address or location of building 1S".~s fllJr1r_1lL ..1.\. -r ~;)...1..
Name of owner ~
Type of building ty\.Ul+\..f~\M.lLJ t)WLW&V~
(Dwe'.ling, Store. \\4arehouse. etc.)
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Estimated value of building $
Estimated loss to building $
Da te of fi re l,- u") - ~.1
Location of damage in buil di ng 101, II .. b{')1~ ~~. 00r2 (OO~
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I (Roof, Wall, Exterior, Interior, etc.)
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Structural weakness as a result of the fire \uhJrlli,)~ ~ ~~ I~
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(Burned rafters. Beams, Joists, etc.)
Additional pertinent information
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Electrical Hazard '^)Q\l)E-.. t..)llir~
(Wiring, Outlets. etc.)
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