HomeMy WebLinkAboutPermit Fire Damage Report 1994-9-24
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CITY OF SPR~T~U)
Fire & Life Safety
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,9LI/502-
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FIRE DAMAGE REPORT _
OR
. ELECTRICAL HAZARD
DATE: Cf-d.LJ-qy
TO: Building Department
FROM:
Springfield Fire Department
170S2 LC{)- 0 '1>CoOD
SUBJECT: Structural Damage to Building
Address or location of building ~ Os 30
Name of o\'mer ? Cl-<.t.)~ V,~#
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Type of building r1f..A- <
(Dwelling, Store, Warehouse, etc.)
~.....u1/ -Ih 7" 14.f. 'f: d" l7( t11 PI. ).()
Q . I .
OM j-,
,
Estimated value of building $ ""."'50,rJtJ0
,
Estimated loss to building $ ;;'O.fX:X::)
Da te of fi re q - ;:) r..(_ aLl
Location of damage in building n....66...P/ rf-4 / r~h
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire .~( (}'9-l~")
. (Burned rafters, Beams, Joists, etc.)
Additional pertinent information
Electrical Hazard CJu~_ ~ o....I.1~. w--~/~
(Wirin9, Outlets, etc.)
Signed~ L~
cc : .p LV
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