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HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 2004-1-21 (""") v~ /' ',<. I \ .'~'~';l~"'*;: ~::$ t, ~_4_ , FD-O 16 FIRE DAMACE REPORT OR ELECTRICAL HAZARD #04-009517 Date: 01/21/04 TO: Building Department FROM: Springfield Fire Department I~L\ -ttJ6q SUBJECT: Structural Damage to Building Address or location of building 4885 Aster Street Apt. #108 Jenna Estates LIe. Name of Owner P.O. Box 117 Walterville, OR 97489 Multi unit apartment Type of Building (Dwelling, Store, Warehouse, etc.) Estimated value of building $200,000.00 Estimated loss to building $5,000.00 01/20/04 Date offire . Bath/utility room on 1st floor ceiling Location of damage to building (Roof, Wall, Exterior, Interior, etc.) Structural weakness as a result of the fire N one noted ~ (Burned rafters, Beams, Joists, etc.) Additional pertinent in,formatio~ Electrical damage to the triple ceiling mounted fan, light, heater unit Electrical Hazard (Wiring, Outlets, etc.) Signed cc:, . 01/21/04 I:\FD-016 FIREDAMAGE REPORT.doc \