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HomeMy WebLinkAboutPermit Fire Damage Report 2001-3-26 -e 01 00301 (] / FD-16 .03 (J)-,.3:;;' ();J.)Ou o I - 0 t./ 0 0 37 FIRE DAMAGE REPORT OR ELECTRICAL HAZARD DATE: 3!z(,!o{ , TO: Building Department FROM: Springfield Fire Department SUBJECT: Structural Damage to Building Address or location of building Ibl...ll J-lwbo-r'Dr Name of o\'lner ,tJ'^^~J L. (9..,~''''v--.. Type of building -^^ i\ 'h; \.t.,h~v'lA.J (Dwelling, Store. Warehouse, etc.) Estimated value of building $ q 1., ()(){) Estimated loss to building $ "")~ DO 0 Date of fire <, lu, J (')/ , Location of damage in building JC-.I..l< .6L..~ .ro"':/>~ J...... hi), tb.woVl-- Structural \l()~(\.\:-<; "-l ~ (Roof, Wall, Exterior, Interior, etc.) weakness as a resul t of the fire ---:l.. ')-e..e.. (s...g.)_ <::V c.. U,'c- ) roo DU\- -hr-.. <:<-<~. (Burned rafters, Beams, Joists. etc.) f!-/MJ" Additional pertinent information Elettrical Hazard plfLf-..'l''-'''{ ~~"'I\I\.J I,^,- (J Ute... b.d-vv~ b ~ L K h,. J \l't)c W'- d.--' 'J...~ I I be, fC. v-o()-n----, (Wirin~, Outlets, etc.) /i~ K nKW- If/) , . S i 9 ned cc: lIvJ :3~3~-OJ . (I-cr