HomeMy WebLinkAboutMiscellaneous Fire Damage Report 2010-3-29
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FD-016
FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
TO:
Building Department
Date: 3 - J. ') - 10
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building
\~ 5'1 {Y\e:" ~L
Name of Owner
Type of Building
S',,",, ')\.t.
~c. ""': 1" hou~e.
, .
(Dwelling, Store, Warehouse, etc.)
Estimated value of building $
Iex.>! 000
Estimated loss to building $
I')' Oo~
,
Date of fire
3-J9-Io
Location of damage to building
LJ~:;1- s:c.lC1. v"\I'r"
,
1<: ~d"''''1"\
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire <;:>v...... h..... ') Ov'v' ....<,,~ door
(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
Electrical Hazard I'Y\ t.. \..... .... \:,,,, ~ h, ~ l.. ... I t.. t I- 0 ~ doo....
(Wiring, Outlets, etc.)
Signed
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