HomeMy WebLinkAboutPermit Building 1988-5-12
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: S- 1")",- S--y
TO:
FROf.1:
Bu i 1 ding Depa rtment
Springfield Fire Department
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Address or location of building
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SUBJECT: Structura 1 Damage to Bui 1 ding
Name of ol'mer l?1~/Jdu 11. fA II"-^, 7<17 - (,73 2
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Type of bu i1 ding -tltrll'i"v- /0 nlL\ f:
. (Dwelling, Store, Harehouse, etc.)
Estimated value of building $ (000 .00
Estimated loss to bu i1 ding $ 1000 , 00
Date of fire ..:r - I'L- X-- .J(
Location of damage in building ~v hue rco;"'" "(,n ~ ,&lJ.0h
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rear ",vi r~do r IJ)(L ( l
(Roof, Hall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
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(Burned rafters, Beams, Joists, etc.)
Additional pertinent information ;r,;; 8"", ZJs~"" ~ ~ ~ ..--)9
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Electrical Hazard
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(Hiring, Outlets, etc.)
Signed k''''l)(k) fl. ~;
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