HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 2004-11-21
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: 11/;;;./ /6,f
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TO: Building Department
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building ;2.71;2. B-ffU,Ae,. ~I ~
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Name of OI'mer V)a,</ /1'( tv eJ IIR v
Type of bu il ding 5'''~ (..e +ct LV--I ( yo ,
(Dwelling, '-Store, t1arehouse, etc.)
Estimated value of building $
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Estimated loss to building $
Date of fire II/zit bel '
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20. (~ (') D
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Location of damage in building
Co. Vv\ c..e-. .
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(RoofCWall) Exterior,~te~iOb, etc.)
Structural weakness as a result of the fire
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(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
SCTViIt.L 905<;/ b 1.e1R {p c-Jlrt ri~ I
Electrical Hazard
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Signed _ A~
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