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HomeMy WebLinkAboutPermit Fire Damage Report 2002-8-16 . . o~ Ol077 O~D_16 < FIRE DAMAGE REPORT OR ELECTRICAL HAZARD DATE: g-/t -0)", TO: BUilding Department FROM: Springfield Fire Department SUBJECT: Structural Damage to Building Date of fire Address or location of building Name of owner QS " L I l-J t i.-\. c j. . Type of building ?S(OV~ ~CCI.\ ~..........~ C.......,olc:y (Dl4e11ing, Store, l~arehouse, etc.) I Estim~.ted value of building $ 150/ DOc) Estimated loss to building $ 50, DO () 8 -I G -0 .=>--- tJ s-l- -p { 60 -- 'J- /A- ~ c.V' "0 ~"- b13 C lc.v<=-- I ~u-.f. I.exs p . R~ Location of damage in building (Roof, Wall, Exterior, Interior, etc.) Structural weakness as a result of the fire (Burned rafters, Beams, Joists, etc.) Additional pertinent information Electrical Hazard t.......> ,I "'c..~,- ;0 c:>.s d-c>-,--Cf c:...., 'J o-<c-f .6o.>ce.) I U (Wiring, Outlets, etc.) Signed '5' c...l \_H~_ '} f:2. cc: Od- \O~\y