HomeMy WebLinkAboutBuilding Fire Damage Report 2001-11-1
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
FD-16
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DATE: II. I . 0 I
TO: Building Department
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
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Address or location of building
Name of owner kvdAe",-. f "'-V'l.~<-e.
Typeofbuilding 5/"''11... Io~J;. "'-c.:>b,\, ho\>nC'_
(Dwelling, Store, Warehouse, etc.)
Estimated value of building $ ~ 0 006
Estimated loss to building $ J 0 00 c>
Date of fire
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Location of damage in building b~!\"Oc>....... .....""A Ir,,,,, d~_ ~"'"
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(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
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(Burned rafters, Beams, Joists, etc.)
(Wiring, Outlets, etc.)
Signed,~4~_/~
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Additional pertinent information
Electrical Hazard
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