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HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 2000-3-14 ~o (X)i../OBO!, l:'D-16 7'7()Sd&ILj 0/703 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.) /J/-l .p , r ./ ('I -:;- /1 I 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 '- . .f 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 . . \ . cc: