HomeMy WebLinkAboutMiscellaneous Fire Damage Report 1994-6-25
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: &- )..(- 1'i
, TD: Building Department
FRO~l: Springfield Fire Department
SUBJECT: Structural Damage to Buil di ng
Address or location of building t.{').~~ t'\l'\Il\I. s.'L
Name of 'O\'mer Pr\r_~ e.1...fte.s.
Type of building h\n~~ ~ "s''\or(,..
(Dwelling, Store, Warehouse, etc.)
Estimated value of building $
Es t imated loss to bui 1 ding _$
Sex> DO\)
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Date of fire
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Location of damage in building rOl'l.ue..t;\"Ot-t (A\c,.-1 "1\0
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(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire 'R.
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(Burned rafters, Beams, Joists, etc.)
Additional pertinent information t'lVw h hJ -CJ4 - Sf,'\J~C-I'_
Electrical Hazard
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(Wiring, Outlets, etc.)
Signed
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