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HomeMy WebLinkAboutPermit Fire Damage Report 1994-9-24 ?J-If. CITY OF SPR~T~U) Fire & Life Safety . ,9LI/502- - --- 5rq~ - 2(., 'it/ 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,~# , U 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 q, Z1.q~ (Ii'