HomeMy WebLinkAboutPermit Fire Damage Report 2002-8-11
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FD-16
FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: ~",,'/-01-
TO: Building Department
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of ,building
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Type of building ~/k:() /OX!f;
(Dwelling, Store,
Estimated value of building $ /:S~~
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Name of O\'mer
Warehouse, etc.)
Estimated loss to building $
Date of fire ~ -11-0 2-
Location of damage in building 7ttl'-dLc<'hfflA.7r
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(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire ~ 5h't-j s~d,'1'
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(Burned\f~fters, Beams, Joists, etc.)
Additional pertinent information
Elettrical Hazard ~~e
(Wirin~, Outlets, etc.)
Signed-1i!JhM WI. e fu..h'la-.- 4/"
cc:
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.
.
FD-16
FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: <;-/HH-
TO: Building Department
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building
34-ZS
D/ ~: Wit'v
UrJWi/l.)
Type of building YVI~(~d ~-
~ (Dwelling, Store, Warehouse,
Estimated value of building $ 1<: J?IJ
f / (nfO
Name of QI.mer
etc. )
Estimated loss to building $
~-II-Ol-
Date of fire
Location of damage in building ~'t,l(LIa.
I
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire ~~
(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
Electrical Hazard
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(Wirin~, Outlets, etc.)
S i 9 ned jJ LlVH 1l1-./d /If M (h Irk
cc: J;l- \0021