HomeMy WebLinkAboutPermit Fire Damage Report 1986-09-17m-15
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yc{(eObtFIRE DAJVIA.GE REPORT
OR
ELECTRICAL HAZARD
DATE:?-t 7-84
TO:
FROM:
SUBJECT:
Building Department
Springfield Fire Oepartment
Structural Damage to Building
Address or'location of building / ?2t ,/"g--
Name of or.rner
Type of building
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Est'imated val ue of bui 1di ng $ 23,odo
Estimated loss to building $
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Date of fire ?tz- te A nso ? Ae r
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Structural weakness as a resu]t of the fire ' .Eupr"/eetlz-
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(Burned rafters , Beams , Joi sts, etc. )
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Additional pertinent information
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FIRE DAJVIA.GE REPORT
OR
ELECTRICAL HAZARD
*qbob'
?-t 7-86DATE:
TO:
FROI4:
SUBJECT:
Bu'i I d i ng Deoa rtmen t
Springfield Fire DeParfrnent
Structural Damage to Bui'l di ng
Address or location of building / ?2t /", /tL
Name of ot'/ner ?
Type o f bu 'i 1 d'i ng
Es timated va I ue of bu'i 1 di ng
Est'imated I oss to bui lding
e//n
, Store, I^/areho se, etc. )(Dwel I i
$J 3,oo o
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s
/-rDate of fire rte A os o? hes
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Location of damage in building t
i il //.8. u/?tz- *
(Roof, lalall, Ext ior, Interior, etc
Structural weakness as a result of the fire
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(Burned rafters, Beams, Joists, etc. )
Add i t'i ona I per ti nent i nf orma ti o n
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Electrical Hazard
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STRUCTURAL INSPECTION REPORT
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/(-ThJOB ADDRESS
Ol^lNER
DATE
PHONE
ADDRESS &
TENANT OR OCCUPANT
TYPE OF INSPECTiON'
-
HOUSING OCCUPANCY COMPLAINT FIRE DAMAGE
I
Ii.ISPECTOR
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