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Permit Fire Damage Report 1988-1-28
','i"'_". ....#.- .:' .r',,"::. ~," .;~~.:;. . "~'. . . . " . ~:. :", . ","'_;"':':c-:.t;~~:.. ," :;i~}F~.L " 4. oIJ-.I.,O '~" .' 'H'::;;"~:~J . ....,. -.,'. . . . '.~--'; .,.' -. . j. r,toO 11 ..... ';'. ,FIRE DAMAGE REPORT OR ELECTRICAL HAZARD DATE: o/~ ,y/~R" / / -\1~!,t~;F;i.;::~'~ : : r,O: . ' ," .,:. . FROH: i;.:.;'~~.l;'/" "'~', :.' '.' .t:;i.:) ~. .' . , . . . .~::.~;~:;:,': f':' . ^," .' .~ ".: :'(' !:1~ii::j~S:' : '. Building Department Springfield Fire Department -- ',' . .. .:.,1..,} SUBJECT: Structural Damage to Buil ding , Address o,r location of building 7 ~7 --1/,-"" j2~ C5 A, ., Name of owner ~,/'f.'LLL (/) ~ ~ d Type of building / ~ J].-<A.J~......y' (Dwelling, stor<i(, Warehouse, etc.) Estimated value of building $ Estimated loss to building $ Date of fire '" ~/~ :r-/ :if- Y . Location of damage in building (;t:lR_ ~ t?.A..-Jl d)., j)...;I/ ~ 4kA .fJ~A~~__ ' --i(~~~f,~~ll, Exterior, Interior, etc.) Structural weakness ~s a r~su1t of the fire '~__ ro~~~. -iL fJJ-4J.k J- -1";u -A-l.-L-> r.~ j ~ve-e_ -- (Burned rafters, Beams, 'doilSt~-,./et~') , Additional pertinent information V _ Jl/h'-lp ...#- ~ J -:d L./<v> jj~c~ bltJ.u__ dL'JJ, ~ /~~ ' ~- - V U _ /JI! ~ ~ .ALL:::&- L..p ~_ 0"1AL PozJr'~:,;r(/~~, "- &:l-e.... ~l ; ...."': J Ic..~c:.. J (Wirinq, Outlets, etc.) Signe~/~~ f2L/t24.~-- cc: ~,