HomeMy WebLinkAboutPermit Building 1990-7-23
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: cO--Z]-7o
TO:
FRGr'I:
Building Department
Springfield Fire Department
1 (j)q47
SUBJECT: Structural Damage to Building
Address or location of building
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rv/JJ 'A"$
Name of aI-mer
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. (&Welling, Store, Warehouse, etc.)
.' Estimated value of building $ ").0 cI C1
Type of building
Estimated loss to building $ 7. C1 oc:J
Date of fire o7~ ~"3 -90
Location of darr.age in building .0..2/ ~ ~
(Roof, \1a11, Exterior, Interior, etc,)
Structural weakness as a result of the fire
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(Burned ra fters, Beams, clo i s ts, etc.)
Additional pertinent information V~{~ ~ ~/15' o.
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Electrical Hazard ~~ ~O ~ """ ~L
c:rt ~ ;4- ~ 1~~ ~ ~~.A1 4
V (Wiring,
cc: 1- 21./- &fo
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Outl ets, etc -) ~ J4-. -.:DI.., h1 ~
S i gned~~ , (](,~ a,_, -.1 ;;/2- ,.
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