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HomeMy WebLinkAboutPermit Fire Damage Report 1986-11-24 - , \~, t'-- ~ . . . FD-16 SPRINGFIELD FIRE DEPARTMENT FIRE DAI1Jl,GE REPORT OR ELECTRICAL HAZARD =It groO <6 L/ to ~ DA TE: -LL.I:J#./ f? t:, TO: Building Department FROM: Springfield Fire Department SUBJECT: Structural Damage to Building Address or location of building 3~ G"," E.\ ['.'0+ L~ Name of owner . Ufl./I.AA- SJ,.,~ Type of building DWR....({~c, (Dwellin~ Store, Warehouse. etc.) Estimated value of building $ . ::j ()() 0 CJ Estimated loss to bui ldi ng $ Ij 00 C Date of fire I J I d...:3 I 'ire., u.-to~'~. I ~-,L~ ,Location of damage in b~ilding (Roof, Wall, Exterior, Interior, etc.) Structural weakness as a result of the fire (Burned rafters, Beams, Joists, etc.) Additional pertinent information Electrical Hazard ufb<'5l-a;'A... ~ '. ' (Wirinq, Outlets, etc.) Signed) l1- It.~ cc: