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HomeMy WebLinkAboutPermit Fire Damage Report 2002-6-5 . . TO: Building Department .:\ f")O'L330oD 3~016 FIRE DAMAGE REPORT ELECTRlC~ HAZARD O~- OOl~-o' Date: 6,.- S - CJ 2- FROM: Springfield Fire Department SUBJECT: Structural Damage to Building 6-- ~,- 0 2- rnf45"~ 8tP~ Virv- W Mj~ In e~re#- ~JI'Nd iirCfbP/~/ (Roof, Wall, Exterior, Interior, etc.) . Structural weakness as a result of the fire V e"5: /~-7S J .-)'/17'>& / bI ,r.i?-f ,<)~5 Address or location of building Name of Owner Type of Building /Jar ~tt?--9 F Estimated value of building $ Estimated loss to building $ Date of fire Location of damage to building -3'7 - 1-:; ..:> s: /2/Sv 4- gf? , (Dwelling, Store, Warehouse, etc.) /5; cvo'O / E; CJ& 6.- /~ 0-0 () /~/? r ~'Y 110m ~~ (Burned rafters, Beams, Joists, etc.) Wk~ (Wiring, Outlets, etc.) ~ &~p~ . Additional pertinent infor~ation , , Electrical Hazard' V R.5 /J~ t5~c;I " AI CLntJ)u;~ to t' ?2,.~ . t' ~ .(/ M{,~c ~kl CC: ~- ()~lYOY , ~I Signed 1>w 11$ __ . v V:\FDJORMS\FD-016 FIRE DAMAGE REPORT.doc "