HomeMy WebLinkAboutPermit Fire Damage Report 1984-3-12
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: 3 - /2 - 81
TO: Buil di ng Depa rtment
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of buildingGSO !f;::;teL<Jc.u rBt,Ai)
Name of owner T/.J. 'C P6//...;,1=
Type of building 'Li U"-1fT Gf-1rP-lIGE
(Dwelling, Store, Warehouse. etc.)
,
Estimated value of building $
Estimated loss to building $
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TOr A L-
Date of fire
~ - 12..- <;;;4--
Location of damage in buil di ng 10"~ ( _
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
(Burned rafters, Beams,.Joists, etc.)
Additional pertinent information.
Electrical Hazard
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I
(Wiring, Outlets, etc.)
Signed~~-i!AA/. j