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HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 1994-2-8 /II~ Mj~F ;tE- f ~~..=. . . CITY OF SPRINGFIELD Fire & Life Safety fD-16 . 5 r "'ILl - ()"3 () '-J JbbiF qinHr FIRE DAMAGE REPORT OR ELECTRICAL HAZARD DATE: ;2- R- 9 '/ . TO: Building Department FROM: Springfield Fire Department SUBJECT: Structural Damage to Building Address or location of building fer.5' S:O. /l Name of owner (11V7"fc0-? Oo-r-/.5 Type of bui lding . ~1A../du<;1 t</c...r(Jj'~V.U7 /-- 1l07'k/ ~ (Dwelling, Store, Warehouse, etc.) Estimated value of building S Date of fire Estimated loss to building $ 2~g~'lL/ kh,,c Location of damage in building wd(s rI s:au.-d"J' ~ 5'1or0j>.f?_ '.,' (Roof, Wall, Exterior, Inferior, etc.) Structural weakness as a result of the fire /3'rrU'cI rt:?#r S , /l.R~ S' 'ion;: -i>. rd'zJ h J<.9 Ik CZ../edJ ,_, '~ (Burned 'rafters, Beams, Jo i s ts, etc.) ...... ,ti]:--/;""I'oT dt /J-rrrYL .f\ . Additional pertinent information Electrical Hazard &<;"r <piP 2/ Sl'{/-r1 Ii {~61 f. J'/41 k.;AAlJd.....r~, lJle.tJtAt IN*r .",,r;,_Jr'r .u~a::. , (Hiring, Outlets, etc.) /lIs ~~dIJ ,fk~4?~~ ~ .'. ~-Signed-- '. /d, /J. ;Z~SP0 . e~. 8~/ :".1 "L:_' :.".:"! ~~. cc: -PW --2-9 -qLj (l.A