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HomeMy WebLinkAboutPermit Fire Damage Report 2000-2-21 . 10b :tt::- ~D - ~D') - (] I FD-16 FIRE DAMAGE REPORT OR ELECTRICAL HAZARD DATE: .2 -) 1- 60 TO: Building Department Address or location of building 2/33 FROM: Springfield Fire Department SUBJECT: Structural Damage to Buil di ng - -? I ~ ~ L (t.-<- '-- ''L Ncme of OI'mer -.:'S '~.c ic. C _ \~t') ( :\ t-fh/' Type of building 1u>t. Ii ,"'\.'-, (Dwell i ng, 'Store, \'Iarehouse, etc.) Esti~ated value of building S q('; O()0 ! Estimated loss to building $ Ui" r'..., I v~ L.{jU .' Date Gf fire :J. - ). / - O('o Location of damage in building ;2 ,~ .,.. .t.-cr. I.U )1-./ i 5 c...e; 11'i~ joist (Roof, Wall, Exterior, Interior, etc.) Structural weakness as a result of the fire A/.,.02~J /"'\:.I.f-klS jUt S f J (Burned rafters, Beams, Joists, etc.) Additional pertinent information Electrical Hazard a/i (.u,rr',l!; , cviJ'sla ir) I (Wiring, Outlets, etc.) Signed C0A' "7 J ;)Ui.A...-< ' , cc: