HomeMy WebLinkAboutPermit Fire Damage Report 2002-7-21
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
FD-016
TO:
Bulldmg Department
Date:
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FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building
s360
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Name of Owner
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(Dwelling, Store, Warehouse, etc.)
Type of BUlldmg
EstImated value of buildmg $ \ 50O:Ju 0 '"
Date of fire
Estimated loss to bulldmg $ 75'. VCY) .,~
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Location of damage to building
Q,~E
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
\ 12-,-, ~S~s.
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(Burned rafters, Beams, Joists, etc.)
AdditIonal pertinent information JA C3~C"~f2.,. ~ V\.\-h ~ J'I \ ~,'" tl.J.-
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ElectrIcal Hazard
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(Wiring, Outlets, ~t~
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V IFD_FORMSIFD-1J16 FIRE DAMAGE REPORT doc