HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 1985-11-30
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FIRE DM1AGE REPORT
OR
ELECTRICAL HAZARD
DATE: 1/- 'jo,,, "8'S-
TO: Building Department
FROM: Springfield Fire Department
SUBJECT:
Structural Damage to Building
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Address or location of building . J 5" .<,- ~ ,4 .:::;r-
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Name of O\'tner .DDnlL(~
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Sfore-
(Dwelling, Store, Harehouse,
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Type of building
etc.)
Estimated value of building $
Estimated loss to building $
Date of fire //- :ro - S'S-
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Location of damage in building
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(Roof, Wall,
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Exteri or, Interi or, etc.)
Structural weakness as a result of the fire
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(Burned rafters, Beams, Joists, etc.)
Additional pertinent information Ild.L~. '" .,_~ 'l,,-rv;>P1'" A__~:.1t
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Electrical Hazard '----'Uj'~n1q It,."..... rJ.",,-vt w,:"...J!' -ya,-(.;,/ .F"Y.
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(Wiring, Outlets, etc.)
Signed / ~
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