HomeMy WebLinkAboutPermit Fire Damage Report 1998-12-18
,oj
A
(fob it Cj? /55tf
.f / (u 3 2~j3 ~ 5S00
FD-16
S f1C;; - L/30b
FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DA TE : I L - IS 9 ~
TO: Bu,i 1 ding Depa rtment
FROM: Springfield Fire Department
'SUBJECT: Structural Damage to Building
Add~essor location of building e2t.o LJ., ~ Ca.5;,-l\e.. ,DR-
"
Name of OI'/ner I kJri.C-\.L,!"'A' ke-e__
,r
Type of building Suuc;\e_- \;:l--iY\,
~(Dwelling, Store, Warehouse, etc.)
Estimated- value of building $
Estimated loss to building' $
I is-, 0'00 .~
<~- {Joo ~-
,
Date of fire
I L- 1<6- q c;{
Location of damage in buil di ng C9 a..f'"c\G P .....:::,., S::::00Ut\,~"2. \ \ olDAe~
' ' .\
S L,,,- r,~",," . :stM\aA"r ~S," '\\--..'~e \ \ ",\ &t-}"C A<:F \ ~"A'\'-lD<\
i (Roof, Wall, Exterior, Interior, etc.) "'-..J
-tc) 1'00 ~y, oVe~ ~ ~ASe.. '. , ., ..' ,
Structural weakness as a resu"ftJof the fire ~:)A1 rev(?, -p ) U':'\AA fDC
\ '\ 0
-n 'f)n(,\'" ',()\}y?r 'C\MrH~-P Q\JF-f'n~ f'P P\ACP0.
. ". (Burne.dJraf~, Beams, Joists, etc'.).
Additional pertinent information
, ~-
Elect+riCal Hazard l-^---./\\"~,,-)c.
, <---.J
au 9 PH-AQp
, '--- ,) ) (Wiring,
In' &kc C'A",,,, ~ ')\1\L~j\.\
Outlets, etc.)
Signed C" f!)(~A1V .
cc: