HomeMy WebLinkAboutPermit Fire Damage Report 1998-07-09rl \1$JLW
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Fire & Ijfe Safety
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FIRE DAI.4A.GE REPOP,T
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ELECTRICAL HAZARD
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DATE: 07 -O8 98
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SUBJECT:
Bu 'i I d i ng Depa rtmen t
Springfield Fire Deparbnent
Structural Damage to Buildi
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4Addr ess or location of building
Name of or.Jner E,'vrerr:. ld Pa.
Es timated va'l ue of bu j 1 Ci ng
Estimated loss to buiiding
Date of fire A7 --oZ -cj9
(Dwel I i Store, lrlarehouse, etc. )
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Location of damage in building fa',a, F
Roof , l,llal I , Exterior, inter.ior, etc. )
Structural weakness as a resu'lt of the f.ire
(B urned rafters, Beams, "loists, etc. )
Additional per tinent informat'ion t/nca*if ll,-r"-
Electrical Hazard
(l,Ji rinq , 0ut]ets , etc. )
cc:-"1 7g ?ut S i gned
Type of bu'ilding
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