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HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 1985-11-30 (2) . JOl3'~~///6 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: . ~ . p()~ ~