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HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 1996-5-9 SPRINGFIELD FIRE DEPARTMENT rf1JeO/172:L"--f 'U""" __,,~ I rI -- --. 7 SH(p' 1213 . . FIRE DM1AGE REPORT OR ELECTRICAL HAZARD DATE: S/q, /qto TO: Building Department 17D3303} 00((00 FRat'1: Spri ngfi el d Fi re Department SUBJECT: Structural Damage to Building Address or location of building I L\"\<\? "A" S\:..' Name of OI'mer J0:\\i-e-', "-.,,"^ ,)..2,Cl"f ~~~ s't-.. Type of building c::.,roa\e... ~,..;.,\" b~~\\'I~c ---> (Dwellin~tore, Warehouse, etc_) Estimated value of building $ loo DO () Estimated loss to building $ .,),000 - Date of fire .s-/9 \ C1lo ' Location of damage in building Sk'la...... ~\'A..-....~ ~<:~Po,') (Roof, Wall, Exterior, Interior, etc.) Structural weakness as a result of the fire ~ , (Burned rafters, Beams, Joists, etc,) Additional pertinent information Electrical Hazard d~'e.,i '>:\p,.L;,,~\ s...r0\~'" iYle.-b.r ~AQF ,( -----.) . .. 1~\{'\{\..H'\ ' ~Wirinq, Outlets, etc.) Siqned (1 QS [Jh ,/'J'- '-' ..- cc: 7' H,q\.p ?uJ C,A 0-