HomeMy WebLinkAboutBuilding Fire Damage Report 1993-11-1
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE:
/1-I-li3
TO: Building Department
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
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Address or location of building
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Name of 0\1ner (.,.. e,,r /,." c.r,,)
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Type of building
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(Dwelling, Store, Warehouse, etc.)
Estimated value of building $
Estimated loss to building $
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Date of fire
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Location of damage in building
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Structural weakness as a result of the fire j\/~
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Additional pertinent information
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Electrical Hazard
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