HomeMy WebLinkAboutPermit Fire Damage Report 1994-1-12
rJ-~ fl
.:.
;':V
./
CITY OF SPRrnctrnLb
Fire & Life Safety
..
FIRE D.4MAGE REPORT
OR
ELECTRICAL HAZARD
q4LUtO
11D3~~2f-
\
O~m
DATE: 1- U-.- 04
TO:. Bu il d i hg Depa rtment
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
.~ddress Dr location of buildinq d I :r7 ~ -fi'34
!'lame of owner ()~~ V; Pk (;vy,j- (j
I V .
Type of building ~
v (Dwelling, Store, Warehouse, etc.)
Estimated value of building S ~O. 000
Estimated loss to building $ /750 <$I
Date of fire 1- I :f--qy
Location of damage in building ^).
~.
I (Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
QA~
. ,
,O~
V
--tJ. LvrLlP ~ ~ J-!;It
(Burned rafters,
Beams, Joists, etc.)
Additional pertinent information
Electrical Hazard
(l'lirinq, Outlets, etc.)
Signed
~
~
cc: ~ 'VuJ
~
,- I 3 - qif e.:r