HomeMy WebLinkAboutPermit Fire Damage Report 1998-07-18CITYOF
Fire &
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Life Safety
FIRE DAI4AGE REPORT
OR
ELECTRICAL HAZARD
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DArE: 07-/8 -q8
TO:
FROM:
SUBJECT:
Bu'ilding Department
Springfield Fire Deparbnent
Structural Damage to Buildinq
Address or location of building l6/"o 'ALdK
Name of ot^/ner
(Dwel I i ng , Store, hlarehouse, etc. )
^<)Estimated val ue of bu'il di no st6 o
Est'imated loss to bu'ildinq $ /ax)
Date of fire O
Location of damage in buiiding
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(Roof, loJai1, Exterior, Interior, etc.
Structural weakness as a resu'lt of the fire
(Burned raf ters , Beams , ,-'loi sts , etc. )
Addi t'ional pert'i nent i nfor ma ti on
El ectrica'l Hazard
(I,li ri nq , 0ut'l ets , etc . )
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Type of buiiding
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