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HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 2001-2-3 JobjJ;()I-OO;fO'j _01 /7 005..30 13 0590Ue FD-16 e < o I - () I (P /51 FIRE DAMAGE REPORT OR ELECTRICAL HAZARD DATE: r;...'o 03 _ <2!ro1 , TO: Building Department FROM: Springfield Fire Department SUBJECT: Structural Damage to Building /')(01'\\ 1t/,,,,,./~ L 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~ 1 . tJ(} () - ( - wall (Roof, Wall, Exterior, Interior, etc.) Structural weakne.:..:. asa result of the fire V~ ~ J.v~ IIO+-- ~ Q:ve- J<l.IM.dt'- - Q~t I..JJ} (,J~a..k - (Burned rafters, Beams, Joists, etc.) Addit\onal pertinent information J:1u.tv.\.t:ll 'tJ!lr(..!=, ~~~~ J"'lGt.&-1 W ~ ~,...hJ.r 4M.J ~ ~_ \{~\I.aI2J. h\'~ ~~I+("J (V\<;v.IJ..,d1A ~"'<;\~~ (QvJ~:t 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.) Si~J \'~1I~""'~2\ ~ cc: ?W 2 - (p -01 CA_ d