HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 1983-8-12
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE:
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TO: Building Department
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building
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All
Name of o~mer
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Type of building
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(Dwelling, Store, 'Harehouse, etc.)
Estimated valueof.b.ujl.dj.r1.g S
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A~c r ~ IciTYR 6;' S;;:GFIELD
BUILDING DIVISION 346 MAIN STREET 726-3753
WE HAVE INSPECTED THE ELECTRICAL WIRING AND EQUIPMENT INSTALLED BY YOU AT THE PREMISES NAMED HEREIN AND SUBMIT
THIS REPORT FOR YOUR RECORDS.
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DATE 8'-ft-<j""3
Job Number ~ ( , ~ 'i
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OWNER OR
TENANT A I 1,..;_ r L... h ...........-yL .
lOCATION OF ,4. ~ / 5 r
JOB '" ..-r&"" ~ LL ',;4
D WIRING APPROVED FOR COVER ~A PERMIT IS REQUIRED . 110 ~
D APPROVED FOR SERVICE D HEAT CABLE APPROVED FOR COVER
D WIRING INCOMPLETE D UNDERGROUND APPROVED FOR COVER
. D WIRING COVERED WITHOUT INSPECTION D CONDUIT SYSTEM APPROVED FOR COVER
D DUE TO THESE PREMISES BEING LOCKED AN INSPECTION COULD NOT BE MADE
D DUE TO NO ONE HOME AN tNSPECION COULD NOT BE MADE
D WIRING APPROVED FOR COVERING EXCEPT THE FOLLOWING
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A. K. 8rlggs Company, In,_, fugono, Oregon 454245.a