HomeMy WebLinkAboutPermit Fire Damage Report 2000-8-8
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE:
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TO: Bu il ding Depa rtment
FROM: Springfield Fire Department
Address or location of building
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SUBJECT: Structural Damage to Building
Name of OI'mer f? f" <, l V c <; +- llVl h /I ",,' .AlL' " '-1-
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Type of buildi ng A r -t {flV1/l {J Ie ~
(Dwelling, Store, Harehouse, etc.)
Estimated value of building $ <-/0(;. 000
Estimated loss to building $
Date of fire q- -g-oo
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Location of damage in building
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(Roof, Wall, Exterior, (r1terio0 etc.)
Structural weakness as a result of the fire No
-- (Burned rafters,
Be~ms, Jo is ts, etc.)
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Additional pertinent information
Electrical Hazard
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(Hiring, Outlets,etc.)
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