HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 1996-7-4
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Fire & Life Safety
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FIRE DAHA,GE ,REPORT
OR .
ELECTRICAL HAZARD
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DATE: 7 - c.r - c;t
TO: Bu i 1 ding Depa rtment
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
,Address or location of building _
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Name of owner tiUt'l iZ.j1J ~u I't-'Ll G,~ .
Type of building ,~ci1J)o( - Jl};UJcf.u.lOI: btdq .
(Dwelling, Store, Warehouse, etc.)
Estimated value of building $
Estimated loss to building $
(90 ,000 . oc)
100 . po
Date of fire
7-'-1-~ 6
Location of damage in building
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deer;', u\'-){ ern so:il/i: .s ;et ~
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(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire ~
(Burned rafters, Beams, Joists, etc.)
Additional pertinent information \v
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Electr.ical Hazard ~
.....
(Wiring, Outlets, etc.)
Si9ned 4:J!i,j) If. lh Ulf. Plft!
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