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HomeMy WebLinkAboutPermit Fire Damage Report 1993-1-5 .. ~-'_. " CITY OF SPRING~ Fire & Life Safety . 0:Y6C) FIRE DAMAGE REPORT OR ELECTRICAL HAZARD DA TE : I /5/ (13 TO: Building Department FROM: Springfield .Fire Department SUBJECT: Structural Damage to Building Address or location of building '3540 6-41-1''''-''''' ( Name of owner Mr a /YI.r-; IG", ell rOo rY) l'1old - A.J ~ 15 (Dwelling, Store, Warehouse, etc.) Type of building Estimated value of building $ --Z, DOC), (){)O Estimated loss to building $ 5, DIJ" Date of fire \ J 2./<0 L:d,()'l 1i,,\-rt5, sl-uel- rock - . .\ (Roof, Wall, Exterior, Interior, etc.) i-<J..v-rJ,r, roo./>'\. - -fl"t +I&or I Location of damage in building Structural weakness as a result of the fire N/h (Burned rafters, Beams, Joists, etc.) Additional pertinent information Electrical Hazard ~-t- c.<,,;I;~ IIJ\,rf~ d- AJo'r.'-:J (Wiring, Outlets, etc.) cc: 'PU) Signed 8~ %- I/frtc,Qrvo{ 1~7-q3 t'!4- p