HomeMy WebLinkAboutBuilding Fire Damage Report 1986-10-13
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: /6 -/]- '1&
TO: Building Department
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Buil di ng
2. (1'5'/\ R,ulE:.!'-'::l c..Ou....r-'+
Address or location of building D L/ ~
Name of owner Du........c. L" '5 0' r--i c. 5 ~ l
Type of buildi ng~ Il"\l \'s ~c. ~ \ \'1 d u..l L. \ \ '1 \f\t..
(Dwelling, Store, Warehouse, etc.)
Estimated value of building $ '10, ()OO
Estimated loss to building $ / () ,000
Da te of fi re I D - I:z. - g"L('
Location of damage in buil di ngk oof \ \- c. -\ -\.z ,") . c.. E. \ \ \ Y\..\
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire Roof (bl.<.,Y\E d
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(Burned rafters, Beams, Joists, etc.)
Additional pertinent information r4AYV1C\c..r. +0 9\t.~-\-.
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Electrical Hazard !I/I lc...)Ir-~II:J lv, +k'i: CL~L q'l'~.CL
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(Wiring, Outlets, etc.)
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. STRUCTURAL INSPECTION REPORT
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JOB ADDRESS
OWNER
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DATE
PHONE
ADDRESS
TENANT DR OCCUPANT
TYPE OF INSPECTION:
HOUSING
OCCUPANCY
COMPLAINT
FI RE DAMAGE
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INSPECTOR
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