Loading...
HomeMy WebLinkAboutPermit Fire Damage Report 2002-6-20 ~ -. ffi mt=il 0 \ I{OS~ 31 <0l6OU FD-16 - I FIRE DAMAGE REPORT OR ELECTRICAL HAZARD DATE: (~/20(OZ TO: Building Department FROM: Springfield Fire Department SUBJECT: Structural Damage to Building Address or location of building 'to 4 tv. Cloverl~QI= L{ Name of owner . 'j nOW\ (:(,...'t:>Ma", I Type of building \) u t> le)(" , (Dwelling, Store, Warehouse, etc.) Estimated value of building $ 1 ")'0 no,) Estimated loss to building $ 7, SZ);) Date of fire (,( 20 (0'2.... Location of damage in building 'i2Rar wedl . ex--kri Dr 'vvQ " n-ft.I'I::)r, , bmkv, <: I'v~ &.oj (Roof, Wall, Exterior, Interior, etc.) Structural weakness as a result of the fire 'Sfud;" ,.!n'l-C.-,.[rClV'"1;J (Burned rafters, Beams, Joists, etc.) Additional pertinent information Electrical Hazard 1:s"'r~l"~ _( Q.. rY' <.e,~ +- I . .r.. t;\rc...,. <')~ -fiN (Wiring, Outlets, etc.) '" f'fJ. _ bl~lc;7 --M ;/\ / Sf,,,, ~ a,OJdt