HomeMy WebLinkAboutBuilding Fire Damage Report 1982-1-27
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: (j \- ~'l- ~a
TO:
Building Department
17-03-:27- .5 f
DO /1 S-
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building \f\ ~4 ~~;",\", IJ_J .\'Ie>
Name of owner J....f; r: ~ ~5 ~. ""~'.'\
Type of building . 1)u:>t.li., '",,\
(Dwelling. Store. Warehouse. etc.)
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,
Estimated value of building $ '1~()(l(')
Estimated loss to building $ 'lCl{) ce
Date of fire
0\- ;~ '1- ~~
Location of damage in building. Q",..,S:: 0\"""'. <2,Ac.a~L
(Roof, Wall, Exterior. Interior, etc.)
Structural weakness as a result of the fire ~~~~ \,,,S'\~~.. o_""~
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(Burned rafters. Beams. Joists. etc.)
Additional pertinent information
Electrical Hazard "Y'I\lffi, j. W\~\"'p.
...
(Wiring. Outlets. etc.)
Signed c..\t' ~~,i \\ 'Q~~I\G~~
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