HomeMy WebLinkAboutPermit Fire Damage Report 1986-12-30
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FD-16
FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
.DATE: /J... - 30 - 86
TO: Building Department
FROt,1: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building 43 L/.3 D/t;~ II
Name of O\"mer ri1L~ ~j)< tJLJJ1.o. (.,~/~~i ~DR.
Typeofbuilding ~i,~lf: ,'JH~\.;Il/ clWI!UiNl'. rF-Nl~'
, ' (Dwe1~ing, Store,JWarehouse, etc.)
Estimated value of building $
Estimated loss to building $
Lf :)',006
'-I . 000
,
Da te of fi re
J:J. - ~ 0 - 8"&
Location of damage in building S.):. b~drrk."M /,))14- LI-"" ~ S.k-
'A-Na f ~i I; l-oc,
o (Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
Mo II) E.
(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
l'r,,1J .
t-{i WI rtF:
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~ 16c<'{ riCA; {
Electrical Hazard _'JJfWJJ oJ
h&~i.~.r () ~ E. .".,.d \^/l4-lf.
(Wiring, Outlets,
etc. )
Signed II. M ~nl\l'
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