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HomeMy WebLinkAboutPermit Fire Damage Report 1990-5-1 ~ ,! ! , FD-16 .:. ,,' SPRINGFIELD FIRE DEPARTMENT q (jJ cor; I FIRE DAt1/l,GE REPORT OR ELECTRICAL HAZARD DATE: S - ( - 10 TO: Building Department FROn: Springfield Fire Department SUBJECT: Structura.l Damage to Buil di ng IO~5, .' /O(;s-' CfLN fCUI-drt ( /~/';(/ Address 'or 1 ocat i on of building , Oc.L....,,..AlT n Name of ~ NJ!:.E.. l1 f..l4-&r~12 I rlwf-o Ii i tJ1 '{Dwelling, Store, \~arehouse, etc.} Estimated va'lueof bu;ildi'ng $ \\O.CX)O Type of bui'l'd'ing Es.timated loss to building $ S'O(),OO Dacte of fi re ,S- I:" 00 Location of damage in building. Je,,:; t C',lllJ - E.'Itf.%io"" Sid/Nt AN.d Wi tJ cJvvl' (Roof, Wall, Exterior, Interio'r, etc.) Structural weakness as. a resul t of the fke ^-JO~E (Burned rafters, Beams, Joists, etc.) " Additional pertinent information proferT; JW~pjAbr:.O &~" -Zii:. bER.f ~r=--~ i~ tl\-tli. 6"1'/ ' IN. (;iitol7f;.f/foIiJ+f f3'(ud. 3 p...t'vJ6tf'd d I () F< q 1l./'n Electrical Hazard,' V\JOVF- 71./ 'l - JOS"'() (\-lirinq, Outlets, e'tc..) Siqne? ~,p-{, iJ, t"\ CAR 9 ~ cc: P(II ) \ ' (lCl Q .t:;- '2-Qo