HomeMy WebLinkAboutPermit Fire Damage Report 2002-6-19
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: (J~I/~/C2.
TO: Bu il ding Depa rtmen t
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building
5f!9 dr III '^? -#.r
Name of O\'mer
Type of bui lding 'DI~\P IL'Nq
(D~elling, Store, Harehouse, etc.)
Estimated value of building $ 'no; om.on
Estimated loss to building $
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-, I'?nfl7. 17 n
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Date of fire
--\;" 11', J q,u .
~()(}2
&Jr~or'\A
(xJl'Mriouo.$ /I
Location of damage in building
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire l/f.?^j~
(Burned rafters, Be~~s, Joists, etc.)
Additional pertinent information ~I <:mtJ}:; JI'1JlA.a~
~' .P1.d:frl'crJ . .\) c,f.,.lAejycJ ~f .
Electrical Hazard
(Wiring, Outlets, etc.)
Signed ~- v/ib
cc: J);:) - () 7 '119 d Ow rj, r _____. ,