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HomeMy WebLinkAboutPermit Fire Damage Report 1984-8-4 FD-16 . . B~080L( 'S'f g<-{- I c> S " FIRE D!\!1Jl,GE REPORT OR ' ~LECTRICAL HAZARD DATE: 0<6- Ol{- ~'1 TO: Building Department FROt.1: Springfield Fire Department SUBJECT: Structural Damage to Building ~ Address or location of building Sd-.,yo 1-//7h/>>llk, /?d Name of o\,mer ':;;-Ian )l1C'IJi/1/ 4/.;2037 ~~" C'N",I( iN . Type of building. rlu;ell;nf . , . (Dwelling, Store, Warehouse, etc.) lebe? . / Estimated value of building $ (;20,<J-oo ~ Estimated loss to building $ /0 OPt) '?:? Date of fire OS'- o<(-ft<j Location of damage in building NOI'//' ,C?u/'f,;;r,' b? hD~ 5""- ,:20,,(2 } [.Vo.(ls j {}/oor -' C/ech,c'=~ . (Roof, Wall, Exterior, Interior, etc.) Structural weakness asa result of the fire (Burned rafters, Beams, Joists, etc.) Additional pertinent information Electrical Hazard (Wiring, Outlets, etc.) cc: Y1~/~. .~ ~ Signed ./ '-I!- t4z~ . .;is F 0 7.P.t - Y7o/z.- ", ~-I.J-~V B40fJoLf ')r g<-{ - (CoS (. ---------- FIRE DM1AGE REPORT OR ELECTRICAL HAZARD ..... 'i-!, \.,""'DATE: 0<6- 01.(- ~<I TO: Building Department FROM: Springfield Fire Department SUBJECT: Structural Damage to Building . Address or location of buil di ng S.;l.."s-o 1-I/<?h/XlJ/I kr pc! Name of OI'lner .5:-Ia." )?jC>Nutr 4/~OJ7 /-k>~" era",/( /."" le.be? / Type' of bu il ding r! CCl? I( n Q '(Dwelling, Store, Harehouse, etc.) Estimated value of building $ 0]0,&00 ~ Estimated loss to building $ /0 OZ'() ~ Date of fire 09- o<(-f:?'1 Location of damage in building /Jo/,j-f, .c>v/'-I/;,/) b? hD'" 5..... ~o(Y(2 J u..;o.ffs, ~/D'Or -' ~/.,.,.ch,c'.:..l' . '(Roof, Wall, Exterior, Interior, etc.) Structural weakness as a result of the fire (Burne9 rafters, Beams, Joists, etc.) Additional pertinent information Electrical Hazard (Wiring, Outlets, etc.) cc: Y'7 ~/~ - "- '~ , -- /,/) ~'. ~. Signed ',Z' '('--- r----zz.. ", " ,/ S F 0 7~t - 77'-1'Z-. (~v'~ . . . - , " If ~ ct ")t IU'f-r;,;--,A (..-?10-ltlr <?-o't-d) C1 ~ h"w17e - ' tV I -I r--v< 'Y ,-1-'-,/....." I '1 q.,..........J"'~ ().J,'o';'" /-'1 qrti'c. 'n/~c.( /AJcd' '5lA.hJ'.,.t....J /0 'J"..Ia.t-"1' ;':;-,-,...A I,JV)( ct T.:v-7 ~..s j It CI "Yf 1//../ C,,-v< du.e fcr,r J ",..y1. e( I...... pdCL t; V 'II' J. ;, 7'1.<./ p_ r. (90.() ",,,,, J ~: j/ h. v~ 1. .. ,,-/ I,,~ . , /1