HomeMy WebLinkAboutPermit Fire Damage Report 2004-1-2
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: el!czleL{.
TO:
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Building Department
Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building sJ;3t; han1p..{e{vtM -fI. /9
Name of OI.mer gr~, ,...:l,u '~...U..l"" ,,,\
Type of building DI~~ (( I"J~
(DMelling, Store, Harehouse, etc.)
Estimated value of building $ ~c l) ~,O
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Estimated loss to building $ 1;.Ol'O
Date of fire ('11/,,1 tit'
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Location of damage in building -.&"I.iAj.' ',.J""II (J+- buL';('1h
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire ",lit),
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(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
Electrical Hazard
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(Wiring, Outlets, etc'A ~ , /
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