HomeMy WebLinkAboutBuilding Fire Damage Report 1986-12-1
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
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TO: Building Department
FROM: Springfield Fire Department
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SUBJECT: Structural Damage to Building
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Address or location of building
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Name of Ol'mer
Type of building
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(Dwe1~ing, Store, \>Iarehouse, etc.)
Estimated value of building S
Estimated loss to building S
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Date of fire
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Location of damage in building '2.0'\ -\-\~ L " -\-It"'-'-- i-lAvL
(Roof, Wall, Exterior, Interior, etc.)
Structura 1 wea kness as a resu 1 t of the fi re [3""", V\ t. d 'f 1> ~{.'/ r~ ,
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(Burned rafters, Beams, Joists, et:,)
Additional pertinent information
El ectri ca 1 Hazard
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(Wirina, Outlets, etc,)
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Signed ~~d:'1 4tb
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