HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 1985-11-30 (2)
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FIRE DA!1J1.r;E REPORT
OR
ELECTRICAL HAZARD
DATE: J 1- '56'" "8'S-
TO: Building Department
FROM: Springfield Fire Department
SUBJECT:
Structural Damage to Building
Address or location of building J 5"~-
Name of O\'mer J)f) {2~.J ~
~ 4 .::;1"-
Type of building
, Ht"lnr
S+ore...-
(Dwelling, Store, Harehouse,
3'/9',S-
Sea ,JL'v
I
Ln
,
/Cd
J:i ~ t(
etc. )
Estimated value of building $
Estimated loss to building $
Date of fire /1- ;yo -- Ss-
.-
'7 ,.j.p 00
1
- t.n:;h:>
~1
"'0
-
~
Location of damage in building lf1a/~
Rr.r."-'
J!J/~,,~~,.
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
'?tfe~.e.YV'o. <'
(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
Electrical Hazard
OJ I/"/~f
(Hiring, Outlets, etc.)
Signed / ./.
I
y!,!Z~(
cc:
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