Loading...
HomeMy WebLinkAboutPermit Fire Damage Report 1988-1-11 v .,;- .~.. . :~ -. . 88 6O..;j() ~u-...o , '0 ~ '--'III OIL{, I . FIRE DAMAGE REPORT OR ELECTRICAL HAZARD ~~ DATE: j'- /J - ~ r? TO: Building Department FROM: Springfield Fire Department SUBJECT: Structural Damage to Building Address or location of building' ,~7 C; / L:/);-?'7 /Y1 ~/- t' /A ) Name of Ovtner /n j. r? J1 /ld d -.J "// ,/ Type of building ;; r" .,/" /-~/ / / (Dwelling, Store, Warehouse, etc.) Estimated value of building $ 30, CJO/,) / Estimated loss to building $ /'/)0/) Da te of fi re J- //- p,e Location of damaqe in buildinG f/i7C- ~'/7 dJ / ~E/7 ,-r-:- ~ - o,.L )U/ / ~/?-o- (Robf, Wall, Exterior, Interior, etc.) Structural weakness as a result of the fire (Burned rafters, Beams, Joists, etc.) Additional pertinent infor~ation Electrical Hazard #I/.(~E/:.c... //.'.//7 I' I ~i.J/-/7"c/ I/l~(~~ ~ ~ng, )V~ ~. Outl ets ,etc. ) Signed t!/~ /~ / ~~~~~ :;" _-,h,~'/d ./ J /' cc: