HomeMy WebLinkAboutBuilding Fire Damage Report 1987-9-9
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DA TE : ?-- 9- (f 7
TO: Bu i 1 di ng Depa rtment
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building ~.f'(Jo
Name of owner /ll/lfl///V N'AJ.J..
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Type of building SIn41')., /J10il/LF #omE. C,5":"/) ~o.e ,S.roRAGc
(Dwelling, Store, Warehouse, etc.)
Estimated value of building ~ /0(") 0
Estimated loss to building $ S'o 0
Date of fire 9- 9- 8 7
Location Of damage in building
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(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
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(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
Electrical Hazard -
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(Wiring, Outlets, etc.)
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Signed
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