HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 1985-4-10
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
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DATE: cr-rJO-8S
TO: Building Department
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building c.!//S;;
Name of O\'mer 0 c- 0/7 r? ,z,j / 2 Ca I Iv J
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Type of building -1::> Wel /(t7~
(Dwelling, Store, Warehouse, etc.)
$ / /},~ 1~rC>
Estimated value of building ~~
Estimated loss to building $ S" ,0-0-0.0-6
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Da te of fi re f?!:1:.j 0' ~~
Location of damage in building k'-,tcheA
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(Roof, Wall, Exteri~ Int~tc.)
Structural weakness as a result of the fire
(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
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W ,;." Inc, har,) -I- r'J Vef\
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(Wiring) Outlets, etc.)
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Signed .f~-e./../ ?'J~_~-"
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