HomeMy WebLinkAboutPermit Fire Damage Report 1989-1-12
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FIRE DAMAGE REPORT
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ELECTRICAL HAZARD
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DA TE : I - I z... -~ '(
TO:
Building Department
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FROM:' Springfield Fire Department
Address or location of building
Name of OI.mer jltt. fJitJi' Chdo
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(Dwelling, Store, War~ou5e, etc.)
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. SUBJECT:
Structural Damage to Building
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.Type of building
Estimated value of building $ 3<0, 000
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Estimated loss to building, $ ?c:;-,OOO
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Da te of fi re 1 - I 2- - J? 7
Location of damage in building. vJed Is
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(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a resul t of the fire wa...1I s
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(Burned ra f t~rs, Beams) Jo i s ts, etc.)
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Additional pertinent information
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(Wiring, Out~ts,
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Electrical Hazard
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Signed
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