HomeMy WebLinkAboutPermit Fire Damage Report 1986-11-24
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FD-16
SPRINGFIELD FIRE DEPARTMENT
FIRE DAI1Jl,GE REPORT
OR
ELECTRICAL HAZARD
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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.,
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,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... ~
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(Wirinq, Outlets, etc.)
Signed) l1- It.~
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