HomeMy WebLinkAboutPermit Fire Damage Report 1988-3-6
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FIRE DAMAGE REPORT
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ELECTRICAL HAZARD
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DATE: MMl.e.h ~ ,({rrr
FROI~ :
Building Department
Springfield Fire Department
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SUBJECT: Structural Damage to Building
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;m. Oend/"IONcf F~N'I, 12ei.
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Address or location of building
Name of o~mer
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Type of building
C'Jr,..JL {j i III C,
(Dwel'ling, Store, Warehouse, etc.)
Estimated value of building $
Estimated loss to building S
30) oc"
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Date of fire
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Location of damage in building --1J.I.,lJs ~",tf ('~;J'''jf 0-1-
...mud r(iN"N~ yawl rJn-f-Et{ ;;, II r.1..r:p,
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire ~ 1'''J..e.....'Gr- pc.r-/-.',J..,;,,.j~
,'oJ U'v."" roo,,", ,c.r.""w(1lL../.d., b.t... t">U.d - pfJC,5,'j,(..... k"t",,,~ ..JJ.....t.f, ~
J (Burned rafters, Beams, Jo is ts, etc.) ~
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Additional pertinent information
Electrical Hazard ~1F:IJSi,)f dl4"''1f'- Jc ..lit rh.-I hi ho-a--" "'"} ~ML.
.-SJ.nM: \'o.Q,"'f. lNill.i4Jj ,'IV (I!i /;,'1 ,~~ ,t~s, B:or bUl!/'i.'f.
(Wirina, Outlets, etc,)
Signed
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