HomeMy WebLinkAboutMiscellaneous Fire Damage Report 2000-3-24
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: CITY OF SPRlNc&:LD
Fire & Life Safety
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FIRE DAMAGE REPORT
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ELECTRICAL HAZARD
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DATE: 3-;;{<-f -00
TO.: Building Department
FRo.M: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building hOS?J ~
Name of owner
Type of building
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(Dwelling,tfStore, Warehouse, etc.)
Estimated value of building $ 79,C(?CJ
Estimated loss to building $ 3:,Looo
Date of fire ,:s- .;2.'-1-00
Location of damage in building
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~OOf, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
(Burned rafters, Beams, Joists, etc,)
Additional pertinent information
Electrical Hazard M1J UJlMllC I~ o-r-€o-
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(Wiring, Outlets, etc.)
Signed ~ ~
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