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HomeMy WebLinkAboutBuilding Fire Damage Report 1999-02-14krfftr|41 ? kfr) )) - o rs o a mal FIRE DAI4AGE REPORT OR ELECTRICAL HAZARD si17 -otr-to.l DATE: 2-/4 - TO: FROM: SUBJECT: Building Department Springfield Ffre Department Structural Damage to BuildinqJJ"Z=rHfu )3q1Su- Sfrc{- Address or location of building Name of or./ner s/ Type of building Estimated val ue of bui 1 di ng Estimated loss to bu'ilding Date of fire Store, tlarehou , etc. )-=6 GCQ qOC (Dwel I i ng )z -t4- Location of damage in buildin g (Roof , l^lal I , Exterior, Interior, etc. ) Structural weakness as a result of the fire (Burned rafters, Beams, Joists, etc.) Additional pertinent information Electrical Hazard (l,liring, 0ut'lets, etc. ) cc - tt-'l I c L ?',t Signed