HomeMy WebLinkAboutPermit Fire Damage Report 2001-01-24FIRE DMAGE REPORT
OR
ELECTRICAL HAZARD
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DATE: /^ 24-ol
TO:
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SUBJECT:
Name of or.,ner
Date of fire
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Bu i'l d i ng Depa rtment
Springfield Fire Department
Structural Damage to Building
Address or'location of bui'lding lo
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Type of bu i 'ld i ng L(Lt
(Dwel 1 i , Store, Warehouse, etc.
Estimated loss to building $l3u*1. P*CL
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Location of damage in building /3c..k Pd*{2o, ^{ , c-o a)t
(Roof, ltlall, Exterior, Interior, etc.)
Structura'l weakness as a result of the fire tl-tnhz_ ,t rel
(Burned rafters, Beams, Joists, etc. )
Additional pertinent information
Electrical Hazard zallta
(tliring, 0utlets, etc. )
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Signed
Estimated value of building $ ,l/tl .cStlO.-,