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HomeMy WebLinkAboutPermit Fire Damage Report 2004-03-20FD-o16 FIRE DAMAGE REPORT OR ELECTRICAL HAZARI) TO: FROM: .: SUBJECT: Building Department Springfield Fire Department Structural Damage to Building Date: 03-20-04 C+ooa\o /&\Address or location of building 1300 6th st. Name of Owner Ellingen, L udvig Type of Building Dwelling @welling, Store, Warehouse, etc.) Estimated value of building Estimated loss to building $ under investigation Date of fire 03-20-04 Location of damage to building Extierior Wall back of structure Eoof, Wall, Exterior, Interior, etc.) Structural weakness as a result of the fire (Burned rafters, Beams, Joists, etc.) Additional pertinent information ElectricalHazard, Wirin (Wiring,etc.) Signed CC: C:\Documents and Settings\hall6S40.SPRINGFIELDl\Desktop\Report Forms\FD-0I6 FIR-E DAMAGE REpORT.doc