HomeMy WebLinkAboutPermit Fire Damage Report 2001-05-19TO:
FROM:
SUBJECT:
Name of ot'/ner
Type of build
Building Department
Springfield Fire Department
Structural Damage to Bui'ldi ng
FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
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DATE: C; -l? -Ol
".
Address or location of building / 7{e T+^rtEAcK-IB tS5r1
tng
Estimated value of building
Estimated loss to building
c.r.r€ l\ t,rr
(Dwelling, Store,rehouse, etc.
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Date of fire c{-/?-c I
Location of damage 'in building J-nf Or-q/.c dr"v\
(Roof, Wall, Exterior,Interior, etc.
Structural weakness as a result of the fire
(Burned rafters, Beams '"'lo
i sts, etc. )
Additional pertinent'information
EleCtrical Hazard (.r-)
al
(klirinq, 0utl ets,
cc b-2
Si gn
etc. )
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