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HomeMy WebLinkAboutPermit Fire Damage Report 1996-1-27 L;U'l OF SPRING&LD Fire & Life Safety . 1& 0/0{ / <~ H' 5 (-" Q&-02 5/ FIRE DAMAGE REPORT OR ELECTRICAL HAZARD 1%02001 iJ fOC[DO DATE: i (77-/eu, TO: Building Department lpt((')C r<:h:.- i.(: ~l-,,~ .~,t~ ("0,",'1'1'> FROM: Springfield Fire Department SUBJECT: Structural Damage to Building Address or location of building 3'\/'5 -..k~pe,.- Kd Name of O\'mer G--<:./J<. L- B(7a"., Type of building S"'''I'\k -f.=,""ilv d.we(liI19 - (Owe1lirrg, Store, warehouse, etc.) Estimated value of building $ 12<). CO/) Estimated loss to building $ (00,1>>0 Date of fire 1/<'7/<1,(" Location of damage in building Cxt>:J;d be""" ~IOJ"<, He<<.vv , ,* C.1v"C4.fl''J . ,,,,,?-ol.c.l-c "::J thtv<Vt of +- ro,r') , GJpncr+ bea.W1<' . av1fi~ ~~ DAr+i-tiof\" cL,qrrl'f"l'J .j (Roof, Wail, Exterior,' Interior, 'etc.) Structural weakness as a result of the fire &4V>"H _ j 6,...-h (Burned rafters, Beams, Joists, etc.) Additional pertinent information Electrical Hazard E "Po-d. ",,~r, j . I, dMJ ()vHeh . ( (": I \ J1.~ -/-;,dvrc; I 011/./\, t1./\J .,-'Mv..e.... 1:vp. At,,,,,,,.,, +0 ~ kr "",d .. (Wifin~, Outlets, etc.) ./ lAXo.+lw- h(MA cc: j-:J-q-CfC> . '?,tl I v\../ f' .:..y Si~ned ~)~ rtVl., 11tt~ V