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HomeMy WebLinkAboutPermit Fire Damage Report 2002-4-5 . ~'o~ a~ CO'td---l 81,ru-.ltl ~O~ 's33<-t O~;;2.'t ~ .. FIRE DAMAGE REPORT OR ELECTRICAL HAZARD DATE: Jdf5,12.J- TO: Building Department FROM: Springfield Fire Department SUBJECT: Structural Damage to Building Address or location of building!J:<'i:? Name of o\'mer \/ / lJ ; l ~ e i'Y1 a V V'" Type of buildi ng _129J eL\.'u~1 (flJ.JJM.I1~~ .f11i";(,/ ~\L) (DWelling, Store, Warehouse, etc.) Estimated value of building. $ C()n, 00" Estimated loss to building $ It> -'~D. nno . o4f OS{ '0.2 . I I Location of damage in building Li\~rm~k,+c~ rel(,'AA~ I ~loc:v. (Roof, Wall, Exterio~, Interior, etc.) J(j..(.5:,</ ( Date of fire ~/~ , Structural weakness as a result of the fire Bl.~ict.,l.Rr) f^'-'.L~f") I('" .Slil.f'R+.A..rC/, (Burned raftert, Beams, Joists, etc.) Additional pertinent information, Electrical Hazard 2"?~~,p- ()u.+lJ-. d.D1Ml'^-~'f' Signed ~ 1/ cc: JLd... (}.\\5~ ^- (AD L{f t t