HomeMy WebLinkAboutPermit Fire Damage Report 1999-06-221 !- _l- tli7
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FIRE DAPIAGE REPORT
OR
ELECTRICAL HAZARD
DATE: /"Az-qq
TO:
FROM:
SUBJECT:
Build'ing Department
Springfield Fire Department
Structural Damage to Building
Address or location of building 3rt o S,Jq s7-
Name of or^/ner
Type of buiiding
ng, Store,rehouse, etc. )
Estimated value of buildinq $ ((, ,o,o
Est'imated loss to buildinq $ { .5oo
Date of fire 6-AI-c/q
Location of damage in building (" th r.r.,, r y.r.( 6:{(- L ro,.r*
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(Dwel I
Roof, lajalI, Exterior, Interior, etc.)
Structural weakness as a result of the fire \A
(Burned rafters, Beams, Joists, etc. )
Additional pertinent information
Electrical Hazard
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LJirinq, Outlets, etc. )
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