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HomeMy WebLinkAboutPermit Fire Damage Report 1982-2-5 . . FD-16 8 6.:2-/71 ' (j I (D INr; DCP,q1/ () Z. Z-() P 1'I1CNl' 11---0 3-)'''-o-t) ~ 1] 2J 110/ FIRE DAMAGE REPORT OR ELECTRICAL HAZARD DATE: ;'-5-1';; TO: Building Department FROM: Springfield Fire Department SUBJECT: Structural Damage to Building " , --....., 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.) , cc: Signed F!lliGRICK CERISTIAi,,,,J:.N CH'1',',IN ,.1;V6>...;/ ~ ~