HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 2003-7-21
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FIRE DAMAGE REPORT
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ELECTRICAL HAZARD
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FD-016
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TO:
Building Department
Date: 7-2/-03
FROM: Springfield Fire Department
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SUBJECT: Structural Damage to Building
Address or location of building / tIS";9 1Ha+ tic.,(
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Name of Owner r:-o.J~ 0L--/ EsWe f Proper-/-Y fhO-1lJCL.~s)
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Type of Building /)w~c.t{'0 - 4au./-m..en:/-J-
(Dwelling, Store, Warehouse, etc.)
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Estimated value of building $
Estimated loss to building $
Date of fire
7-,2/-03
Location of damage to building tv- -e sl
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(Roof, Wall, Exterior, Interior, etc.)
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Structural weakness as a result of the fire
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(Burned rafters, Beams, Joists, etc.)
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Additional pertinent information
Electrical Hazard 041/el-.> +hrtJi...LyJ! t'4.j- ~CtA_,L~r r!..CJu.J./
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(Wiring, Outlets, etc.) ,
Signed {l/ / ,~ ~3~,,~
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CC:
V:\FORMS_FDs Fire Dept\FD-016 FIRE DAMAGE REPORT.doc