HomeMy WebLinkAboutPermit Fire Damage Report 1988-1-28 (2)
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
"DATE: O/~ ~/"?-R""
TO:
FRO~l:
Building Department
OjyOI ,IV'
Springfield Fire Department
SUBJECT: Structural Damage to Building (.,,~
Address or location of building 7~7 ~/o.A'-' ~A~ C3A,
, d
Name of owner ~1 /'~"L.0. {/; J/ ~
Type of building / ~ cO---",-dt-<-':
(Dwelling, Sto~Warehouse, etc.)
Estimated value of building $
Estimated loss to building $
Date of fire '" ~/ -:l. :r-/ :r y .
Location of damagE in building ~ ~ t7v--.-1 d>\ Jl~ ~
.4A-A J JJ~~~L-r"2 ~ '
v --tf(~o~f,~~l1:E~rior, Interior, etc.)
Structural weakness as a result of the fire ~,., (" ~J-- ~.
-tL L,k rJI- J';u' -A-LL-> CoJ; jL~_
(Burned rafters, Beams, 'c?o its t~~~t~')
Additional pertinent information U -" YA-<'~p ~ -:I/..L.L> ~
ft L, /~ ~ a. P-UO_IA'AP ,~ /'~~ '
.~ ~( .-<.LLL L..p ~_ ~ 2~dfl;,;r-tlfM~,
&te~~1 ;...ul !lCl.~o..l J
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(Wirinq, Outlets, etc.)
Signee/7/~':' (2-'Z-/~~
cc: