HomeMy WebLinkAboutPermit Fire Damage Report 1991-5-16
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SPRn;CFIL.D FIRE DEPAr:nlF.:\T JJ4P1rOSIS
FIRE DAl1.l1,GE REPORT
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ELECTRICAL HAZARD
DATE: 5-/b-9 I
TO: Building Department
FRorl: Spri ngfi el d Fi re Department
SUBJECT: Structural Damage to Building
Address or location of building 3::31-15" ~ ;:Ho.-nYL RJ.
Name of QI'mer ~ ~
Vi { ~. 11~
Type of building _ ~. au..
r (~elling. Sto - . l.Jarehouse, etc.)
Estimated value of building $ G/().~~
Estimated loss to building $
Date of fire ,s-lb-q/
Location of damage in building
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(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
(Burned ra fters. Beams, Joi s ts, etc.)
Additional pertinent information
Electrical Hazard ~ tfJ~ ()~~ ~ cud ~ ~
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(7 (V1irinq, Outlets.'etc.)~ ~
Siqned ~ ,~" h'~<-
cc : 'YlU
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