HomeMy WebLinkAboutBuilding Fire Damage Report 1996-8-21
CITY OF SPRINi-~
Fire & Life Safety.
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: /r~.l-I.q 6
TO: Building Department
FROt~: Springfield Fire Department
SUBJECT: Structural Damage to Building
'Address or location of building
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Name of 0\1ner l.. J: II i '..u.. /)n~ II
Type of building
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(fBWelling, Store, \~arehouse, etc.)
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Estimated value of building $
/60 ,VOl)
Estimated loss to'building $
700
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Date of fire
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Location of damage in building
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J~ior, etc.) / .;
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t.i:tu.i W"- 1<",,-'. ,.;;;j.
(Roof, Wall, Exterior,
Structural weakness as a result of the fire 15l.
(Burned ra Hers, Beams, Jo is ts, etc.)
Additional pertinent information '&
Electrical. Hazard ~
(fJirinq, Out]ets, etc.)
Signed ..J::',,'II"~
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