HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 1997-3-18
SPRINGFIELD
, " 0/000
. /703 3 ~ 3;l., FD-16
'eJoVffi q 704 J 0
Sf e17 - Q 831
FIRE DEPARTMENT
.
,
FIRE DAM/I,GE REPORT
OR
ELECTRICAL HAZARD
DATE: ?, 118; c,+
TO: Building Department
FROM: Springfield Fire Department
SUBJECT: Structural Damage, to Bui 1 di ng,
Address or location of building IyL\n /, f\" =*-red '
Name of Ol'mer ~ ,f5D B /7hC0:5r/l-L- ChutZeh
~ . &~6 /'1 ILj#7::5T ,
Type of building UU,.1P \ \,;,,('. .spa i0tZ.J q..,"!'7-?
(Dwet1ing, Store, Warehouse, etc.)
Estimated value of building $
Estimated loss to building $
Da te of fi re .-<; , i F\ i q 7- '
Location of damage in building ~"'" ,&". +
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire 'h-\:~ll('l. 'N: \ Wf'o..\r""po:::,",
'~(h!"'vv',, It,
"-.) (Burned rafters, Beams, Joists, etc.)
Additional pertinent information
Electrical Hazard
cc: riA)
-::)-;).O,Ql
(Hiring, Outlets, etc.)
Signed~~_~~
, './
. 2:J '
(1f"