HomeMy WebLinkAboutPermit Fire Damage Report 1997-3-10
CITY OF SPRm.LD
Fire & Life Safety
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: 1 -:-W.'rl-
TO: Suil di ng Depa rtmen"t
FROM: Springfield,Fire Department
Address or location of
Name of Ol'mer Odd.
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SUBJECT :
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Structura 1 Damage to Buil di ng
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Type of building
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(Dweli i ng,
Estimated value of building $
Store, Warehouse, etc.)
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Estimated 'loss,to building $
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'Da te of fi re
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, Location of damage in building ~",--..,I-t.,<,......,
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'(Roof, Wall, Exterior; Interior, etc.)
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Structural weakness as a result' of the fire
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., (Burned rafters', Seams, Joists'" etc.)
Additional pertinent information
'Electrical Hazard
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