HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 2000-3-14
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FIRE DAMAGE REPORT
OR
.ELECTRICAL HAZARD
DATE: 5 ~I Lf-!J~
TO: Building. Department ,.
FRO~1: 'Spr.ingfield' Fire Depart.ment ,..
SUBJECT: Structural' Damage to Building
, Address or l'dcation of building
Name of O\'/ner ':JU D i 0 I J
Type of buildi ng VV'JfC-v}/\/{ ~ 5'17}(l'r. T7 V L-:/'; (-~; n,"l./
., (D0elling, Sto~, 11arehouse, etc.)
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AfV: A I
Estimated value of building $ S' /)c){) OD
Estimated los.$ to building $ i () 0-0 O'
Date of fire '5~- 1'1 v.-;2-fJ!)/)
:Lotation of damage in buil di ng ~'T('I-J{-;""J
(Roof, ~all, Exterior, Interior, etc.)
Structural weakness as a result of the fire tJ'U N{'
\
(Burned rafters, Beams'-.]oists, etc.)
Additiohal pertinent information
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El ettri cal 'Hazard -g()!ZNO iN! (LIN- f -'f{J .:;roV6 ,<I IJo D 'D.
.<pa~//J{llS:. rlLl'fPr,O (fFr /)~
I (Wiring, Outlets, etc.~ IJ/. j
Signed (M/J-( ;;044 c: - 'I
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