HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 1994-2-8 (2)
CITY OF SPRINGFIELD
Fire & Life Safety
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: .}- R- 9 'I
TO; Bu i 1 ding Depa rtment
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building ?q5 S:O. /l
Name of owner ;11C79CVv/ ParA ..5
Type of building .);;PJ~c;1 Wc'l./(Jks;p ~ .Il07-/P" ~
(Dwelling, Store, Warehouse, etc.)
Estimated value of building $
Date of fire
Estimated loss to building $
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Location of damage in building
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,'(Roof, Wall, Exterior, Interior, etc,)
Structural weakness as a result of the fire &rn/d l"o.#,.S ,
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. ~ (Burned 'rafters, Beams, c1oists, etc.)
Additional pertinent information
El ectri ca 1 Hazard
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(Wiring, Outlets, etc.)
S i 9 ned
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