Loading...
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: