HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 2002-7-4
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE:J U L- i LfJ 2002.
TO: Building Department
FROM: Springfield'Fire Department
SUBJECT: Structural Damage to Building
Address or location of building [p;2:;-
C€1~I)U1/q
Name of m'mer
Type of building puJelli Ay
J(Dwelling, Store, Warehouse, etc.)
Estimated value of building $
$
Estimated loss to building
Date of fire JULY 'i
Zoo 2
Location of damage in building Inkn'b(
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire "0'
(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
,Electrical Hazard Do5Si ble '~11{, \'\-eJ
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)
(Wiring, Outlets,
etc.) ,
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Signed
cc:
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