HomeMy WebLinkAboutPermit Fire Damage Report 2000-3-2
FD-16
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FIRE OAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: ')-l.---"2---~~i)
TO: Building Department
FROM: Springfield'Fire Department
SUBJECT: Structural Damage to Building
Address or location of building
Name of OI.mer v r-I',::'..N 'OV'i ,J
Type of bui lding 'D [;'.I(.CLI 'Nt,
(Owelling, Store, Warehouse, etc.)
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/5'"05 . jlJ/'f'1 f~(i'_
$ { '7 '(), L' 0 '0
Estimated value of building ~
Estimated loss to building $ " 0 000
Date of fire
'(-1-.-LO ,,) ,:)
Location of damage in building 6c.((b,(l(,C (f2p.w:... C pf'. C.IS
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
,Electrical Hazard 7StL6~a(i.. ",-tll P S f('-,n~'Q6f)1...1 I.^J;f.l~(,
I
fv~",-.{,.()
(Wirinq, Outlets,
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*
Signed
cc: