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HomeMy WebLinkAboutPermit Fire Damage Report 1987-8-14 r"';o;I'~""lf.i"";\"O~~,'3~, ' , ::f.14 ..,. . . ~..el,. 'Il''''' . f' ~..:- ~'. ;";- ;\'--': . "I, -t"i)/' C . ~~d~r::':';.~):Jl' ' . '. . , ' , , , . i.'';''.- .. .- FD-16 \ FIRE DAMAGE REPORT OR ELECTRICAL HAZARD - # ~?05t!f' ~\~\ ~ 'I <&\' QY::t)' ~~~ ~r DA TE : ')?- ///- )}, 7 .. TO: ' Building Department FRor'1:, Soringfield Fire Department SUBJECT: Structural Damage to Building Addre5s or location of building 60{. ;::";'-U;el.V Name of o\'l~er }In us/no, A 'f.-},uJI/ -r- (;)fnML'vI ill' . \f'rv/c t?'.or k1H' G. I '/ _ I Type of building blAnJeox- (/;..~l /-n.._:l j),udlnc, I (Dwelling, s'tore, !.Jareho'use, etc.) I Estimated value of building $ ?Ie) C,C,L) Estimated loss to building S I>? c.DO Date of fire '2-)t!-97 Location of damage in building LfeLin~ I Jd;/L., (",om. Jc;lcie.11 I ., / (Roof, Wall, Exterior, Interior, etc.) Structural weakness as a resul t of the fire )'If,)11 P (Burned rafters, Beams, Joists, etc.) Additional pertinent information ;/1"'.-1 U'-I \/)'1D)'" ~ rfh"YlCt.o,tfl k:, J111'>.<:1 of '~,P Af':1lo\'1" I / Electrical Hazard I"Xt'P<c;s/up A/lC\.1 tb ekrhkl OrVY11J / / (Wiring, Outlets, etc.) Signed ((i..jJ./ 1k~-) cc: