HomeMy WebLinkAboutPermit Fire Damage Report 1987-8-6
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
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DATE: ?- b -J" 7
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TO: Building Department
FROM: Springfield Fire Department
SUBJECT: S tructura 1 Damage to Buil di ng
Address or location of building' Lj';;{3o '""})/l/SY
Name of o,mer .JI h ;;r;,,() I;?;$ ( ~66Rr (;,AJtrYJV - C)"" "'?~r )
Type of buildi ng &AJGtG. f/:JMJ L Y ])to5LLl J.J&- ,
(Dwelling, Store, Warehouse, etc.)
Estimated loss to building S
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Location Of damage in building G/1~A&c
$ 6t:J dOO
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. Estimated value of building
Da te of fi re
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(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a resul t of the fire ~r<()S 5ES () UE/( &A~'lGC"
(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
Elecfrical Hazard /1;~SI8~ '76 {VIR/A)~ /AJ
6;17/:?.~ ~-
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(Wiring, Outlets, etc.)
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Signed ZIL<(d.,
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