HomeMy WebLinkAboutMiscellaneous Fire Damage Report 1995-6-28
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE:
6-e1 ?~c;5
TO: Building Depart~ent
FRor.1: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building
Name of O\'mer S Ie. i./e Fou IJfrCrlA)
Type of building :z: ce /,/1A-vu Gclv/J...e
(Dwelling, Store, i./arehouse,
'1/:5 b f1/l 1"1 J>,
5-/.
~
etc. )
Estimated value of bUilding S
.
Estimated loss to building S
Date of fire
6 -,)8'- '9:5
Location of damage in building SFJ{JI//'r-<P, >>k'o.-t
,
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
(8 A &t Q , . ~ t)
urne", r" .ers, ~eams, ~o 1 s ,s, e.c.
;l,dditional pertinent infor:na tion
Electrical Hazard ...~..o,. ,f'11,.<0./? /'1/\ O,J.'^ ~I 1/1 "'A MOP d ~r' ~""/~
. ..11"_ [/, '-- r {..4<';,'" J ..!t-r,.r.'/>,/ ~y /7dCr "'1
cc: ?u.J
(Wiring, Outlets, etc.)
, Signed -4f-- .iL
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