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HomeMy WebLinkAboutPermit Fire Damage Report 1999-8-30 I . tyltLpJ- taX' - I~02:0S.2l/.~002oD-- ~Ob if- ~LJLf " " , ~ FIRE DAMAGE REPORT ,OR ELECTRICAL HAZARD DATE: 8-36 ,~99 TO: Building Department FROM: Springfield Fire Dep~rtment SUBJECT: Structural Damage to Building Type of building Address or location of building / II / Oi y/',z... Name of owner Lh.R.Rt, 6,uw , " {'.ii, I t?-LD ~ Ie. (Dwetiing, Store, Estimated value of building $ /J.0l10.o.' Warehouse, etc.) 14". l~tdtJ, , ~,Ooo.Oc' C/:WfiZ-UT.r Md'i J, C.Oi..rl'I7A )1:.<:. Estimated loss to building $ Tb n~1 10 Date of fire R - ~o - qf1 Location of damage in building blr.(1' ; J(b> .J., f,,f {OHl. (Roof, Wall, Exterior, Interior, etc.) Structural weakness as a result of the fire Ro()'(' f-.:flaa~ e..r:t ~h" '-''1 wpALk (Burned rafters, Beams, Joists, etc.) 4..// (I ^dditional pertinent information Electrical Hazard ol( " ~I P.Jior'Alri, -/."+01 A'c . (Wiring, Outlets, etc.) Signed ~rLl;;l\I R, t'h wtfll-l-l( cc: