HomeMy WebLinkAboutPermit Fire Damage Report 2000-5-27
CITY OF SPRIN~LD
Fire & Life Safety
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: 5"- .2'7- (J (\
TO: Building Department
FROM: Springfield Fire Department
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SUBJECT: Structural Damage to Building
Address or locatio~ of building
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Name of 0\1ner
Type of building.
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-, (Dwelling, Storer; l4arehouse', etc.) (
Estimated value of building $
Estimated loss to building $
Date of fire
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Location of damage in building
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
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(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
Electrical Hazard ;</C". Ii . /1'\7'. nC:.. q..:1-1r p ,
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r (Wi ri ng, Outlets, etc.) -
cc: .'5"-:30-00
Signed ~..sJ)~_#~"V <l. "
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