HomeMy WebLinkAboutPermit Fire Damage Report 1993-12-19
.R'INGFIE~D FIRE DEPARTMENe
s~q3 - 31./10
FIRE DM1AGE REPORT
OR
ELECTRICAL HAZARD
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DATE: jZ-j7-t]1
TO: Building Department
FRat.l: Springfieid Fire Department
SUBJECT: Structural Damage to Building
Address or location of building Sg-7L.f
Name of owner t4."......., {)lU_LC.
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Type of building
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(Dwe11ing~ Store. Warehous~.
etc. )
Estimated value of building $
Estimated loss to building $
'6't; 000. --
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I 00.
Da te of fire
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Location of damage in building L.l" z.... <5r-t.A.; cY>~
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(Roof, Wall, Exterior, Interior. etc.)
Structural weakness as a result of the fire tLI~
(Burned rafters. Beams. Joists. etc.)
Additional pertinent information JL/~
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Electrical Hazard
(Wiring, Outlets, etc.)
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Signed_//~~~
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