HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 2000-3-23
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: 'l-L:~- cO (I 0
TO: Building Department
FROM: Springfield'Fire Department
SUBJECT: Structural Damage to Building
Address or location of building I O'~ '-I 'Ii S'T,
Name of owner
Type of building Dl:J\t: ,-L lJ'1 \,
(Dwelling, Store, Warehouse, etc.)
Estimated value of building $ '7 \- () 0 0
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Estimated loss to building $ I), oD 'u
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Da te of fi re) }
Location of damage in building (\IV-J ~150(LDOn I-)F-,,--,,-- (J{( E,F'
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(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
Electrical Hazard r-lUnO'(O(J] r?U(U.f-; 1~!(L6J IrJ ~1rL6 {.J!..a.<
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(Wiring, Outlets, etc~ !) ("
Signed trr~ }/~~.4--
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