HomeMy WebLinkAboutMiscellaneous Fire Damage Report 1988-11-24
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAL~RD
TO:
FRO~l:
SUBJECT:
Building Department
Springfield Fire Department
Structural Damage to Building
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. DATE: J /-2'-1-'/'>"
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Address or location of building /7/0 IY}~ ~
: Name of ol.mer -R~, ~ ;:,
Type of building ~. 13...,1'/-' T ~ ~
(Dwelling,.Store, Warehouse, etc.)
Estimated value of. building $ //S-O--O~.
. Estimated loss to building' $ IStTO "'""
. Date of fire
J/-.2.~-&"'1
.Location of damage in building e~ ~ ~ ~ ~
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(Roof, Wall, Exterior;. Interior, etC'.)
Structural weakness as a result of the fire
(Burned rafters, Seams, Joists, etc.)
Additional oertinent information ~ ~ lVa-d ~
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Electrical Hazard ~ .~ :;:?:; ~.:.....--
(Wiring, Outlets, etc.)
Signedl '-/ ~
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