HomeMy WebLinkAboutBuilding Fire Damage Report 1991-1-21
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
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DATE: I - J.. I - q I
TO: Building Department
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building 1('i;), I (')I'!-Q<;nrv 4t_
Name of ol'mer A Al h 114 \I. I-nv
Type of building
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(Dwellihg, Store, Warehouse, etc.)
Estimated value of building $
Estimated loss to building $
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Date of fire
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Location of damage in building /nrlf.lI'Cfr (J(J/JJlj{J1/ {OIO Wt/A.
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(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire "iQ
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(Burned rafters, Beams, Joists, etc.)
Additional pertinent information ~
Electrical Hazard ~
(Wiring, Outlets, etc.)
Signed ~)tAJ, f j/fl{1A~1'---
cc: Pw
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