HomeMy WebLinkAboutMiscellaneous Fire Damage Report 1989-8-10
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
TO:
FRO~1 :
Building Department
Springfield Fire Department
SUBJECT: Structural Damage to Building
. Address or location of building
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Name of owner
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(Dwell i ng,
Type of building
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Store, Warehouse, etc.)
Estimated value of building $
Estimated loss to building. $
Date of fire
1110 .J:;re..
Location of damage in building Sev-.€r€- diJU/,'>\,a..s,A2. -h:, ..5 6
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(Roof,
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Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
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, (Burned rafters, Beams, Joists, etc.)
Additional pertinent information
Electrical Hazard
(Wiring, Outlets, etc,)
Signed
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SPRING~LD FIRE DEP'RTMENT
NON-FIRE REPORT
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ALARM NJ-IBER
CITY/FIRE DISTRICT
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g DAY, /0 YEAR g'1
DAY OF WEEK
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HJW REPORTED _~-I' L?/tnu?
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TI-J HJVR OF DAY ..,2,3<)d..
ADDRESS OF INCIDENT
'. DATE OF ALARM. M:J
'. OCCUPANT NAME
TaEPHJNE NJoIBER
'. BUSINESS NAME
'. TYPE OF SIruATION FOU~ "II .1.1 Yh.V4
TYPE OF ACTION TAKEN n d .J-,' >".5t lJid
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MUTUAL AID. GIVEN RECEIVED
TOTAL TIME OF INCIDENT ~jI
(IN MINUTES)
NAME C
TOTAL '''ANHOURS
70
(IN MINUTES)
IGNED BY.
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