HomeMy WebLinkAboutPermit Fire Damage Report 1997-2-22
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CITY OF SPRINctbLD
Fire & Life Safety
.
FIRE DAMAGE ,REPORT
OR
ELECTRICAL HAZARD
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DATE: 02.. - Z L- 9 '7
TO: Bu i 1 di ng Depa rtmen t
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Buildi'ng
~
Address or location of building 51..7_2, O)A'J0 11'
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Name of O\'/ner' ('\:"(',1 l~od5es (C,.:.",'\;,"ed~.A I t~ ) E:::u-':),e,f'\e.J 0-1",
Type of building \\\)t\.c',~~e.'\\-S'^-. \~..~c\
, (Dwelling, Store, Harehouse, etc.)
Estimated value of building '$
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Estimated loss to building $
" Da te of .fi re' 02...." 2: '2. - (n
Location of damage in building,
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(Roof, Wall, Exterior, Interior, etc.)'
Structural weakness as a result-of the fire
(8urned ra fters, Beams, Jo i s ts, ,etc. )
Additional pertinent information \>o,-,>e..r \-0 '~(JiK'~"'e...'\\ ,"~~~
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Electrical Hazard'
(Wiring, Outlets, etc.)
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