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HomeMy WebLinkAboutMiscellaneous Fire Damage Report 2000-05-23lytal +Tc'x brk lTBMtj @ Qvc #N-cowc'ot Sf oc tt l0 FIRE DAMAGE REPORT OR ELECTRICAL HAZARD DATE:-s/ss /oo TO: FROM: SUBJECT: Bujlding Department Springfield Fire Department Structural Damage to Building Address or location of building 2c9 U^ Name of or./ner Type of building (Dwelling, S , I^larehouse, etc. ) Estimated value of buiiding Estimated loss to building Oocs Date of fire f 7/oc Locatr'on of damage in bui'ld'ing V1.\, Roof, hlal I , Exteri or , Interior , etc . ) Structural weakness as a result of the fire o (Burned raf ters , Beams , .)o'ists , etc . ) Addjtional pert'inent information EleCtrical Hazard t -lo ( (l,Ji n , 0utl ets, etc. ) ( cc 5' 21- 00 Siqned /98 (