HomeMy WebLinkAboutMiscellaneous Fire Damage Report 1988-4-16 (2)
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
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DA TE : c..t - I ~ - 'l <('
TO:
Building Department
Soringfield Fire Department
Structural Damage to Building
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FROM:
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SUBJECT:
Address or location of building '-1-<;;,5> ~1 A' to
Name of owner M R *- l.A. \? <:, :1Mk' t\ A~U,I FLoR
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Type of building '~It0G[A', fAMIL-LI IJu'\E:LL.-IN&--
(Dwelling, Store. Warehouse, etc.)
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Estimated value of building S
(J. ~ 0 () 1')
Estimated loss to building S
Date of fire l' UE'.-'::JOAI../
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Location Of damage in building
(Reof, Wall, Exterior, Interior, etc.)
Struc"ural weakness as a result of the fire ~ I Ie H 61\) t:L.bV K
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(Burned rafters, Beams, Joists, etc,)
Additional oertinent information
El ectri ca 1 Hazard \"'')0 rOW!?;}? A'T i~\ 1 'S '11 ME; --( ~e
M A'1 \\ e T.::.U:.CT t'<-I l/A L.. (J fZ D p-, L..'E: Me; A /-.~ 0 '
(Wiring, Outlets, etc.)
Signed
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