HomeMy WebLinkAboutPermit Fire Damage Report 1982-2-5
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: ;'-5-1';;
TO: Building Department
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
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Address or location of building
1395 l!tHW 1i.iJ. ~_01)1'li ::m;:; or 3M/i')
Name of owner f.h~'! ffi:.::D 1';,)5 jj!;R;.O 1J.;. 726-7120
Type of buildiog FltIV,.'IT:. IJ.TC "EG~'
(Dwelling. Store. Warehouse, etc.)
,
Es timated va 1 ue of buil di ng $ 20000
Estimated loss to building $ 5000
Date of fire
2-5-82
Locatioo of damage in building
UtOt:ND ~;HE ;:001': STOVE: '.';".UB !',!\If) CDIJNG
(Roof. Wall. Exterior. Interior. etc.)
Structural weakness as a result of the fire CEILHIS HID l,j,.FTj':P'b
(Burned rafters. Beams. Joists. etc.)
Additiooal pertinent informatioo
l]ECTI.IC,-,] \':llll:.:; CVEPI::JTF,D
Electrical Hazard
ElECTRICAL .IUfE:: OVJ:.1:fiEi,TED:
(Wiring. Outlets. etc.)
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Signed F!lliGRICK CERISTIAi,,,,J:.N CH'1',',IN
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