HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 2001-2-3
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: r;...'o 03 _ <2!ro1
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TO: Building Department
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
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Address or location of building - L \ LV fI-'I :J,"ve("::\-
Name of owner ~~\!''o(u{Q -le.; \'\
Type of building <;'1\t- Q,.lN\:\'" jlloJ~t 1,:"'-"1
(Dwelling, Store, Warehouse, etc.)
Estimated value of building ~()~ flcirJ
Estimated loss to building $
Date of fire OU03!OI
Location of damage i~ bui'lding .-1:1.1..+ Irr.J"SI'J~
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wall
(Roof, Wall, Exterior, Interior, etc.)
Structural weakne.:..:. asa result of the fire V~ ~ J.v~ IIO+-- ~ Q:ve-
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- (Burned rafters, Beams, Joists, etc.)
Addit\onal pertinent information J:1u.tv.\.t:ll 'tJ!lr(..!=, ~~~~
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Electrical Hazard~,t...-\- \'I'_a~ tW{'~e~ ~u.v~'^-CI v..~YL
<u'B ~\~c.6V\Vln\,.J ~6r)jGII J Dull~~ l{\1.JrI/ \ -
(W~ring, Outle~5, etc.)
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