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HomeMy WebLinkAboutPermit Fire Damage Report 2001-3-16 : CITY OF SPRIN.LD , Fire & Life Safety .- r oj;' OO'd-7r ();f-lb /f{))- 0). ;l. 3 04'ic5v O/---03sL/ofo ,FIRE DAMJl.GE REPORT. OR ELECTRICAL HAZARD DATE: '":? - /~-6 ( TO: Building Department FROM: Springfield Fire Department SUBJECT: Structural Damage to Building Address or location of building ,c,t!?€1'7 C/-AP"_~ Name of owner La.\/'.o u ..../~ ,&A"",p S ;; Type of building $';;" L. F~.7.L, //u'o<J/Jo.Au o (Dwelling, Store, Warenouse, etc.) Estimated value of building $ / 8'Q" bC-~. ~ Estimated loss to building $ -::;; 5: o-e.<:..'" ""- Date of fire ~ - I" G-c ( Location of damage in building ,k;-,jpiJ:..r.,..: N'6 s-i.,._./,'........ O~ &':~~~! '<'~~;...-{;ro;, Wall, Exterior, Interior, etc.) Structural weakness as a result of the fire r-/~ ~ (Burned rafters, Beams, Joists, etc.) Additional pertinent information Electrical Hazard, LeJ/r:'-" ,'-".L .+-/,-./.-""-.'-- -Or....""'- 6<-........J~..{, r (Wirinq, Outlets, etc.) cc:'r [A) Signed ~.~_~'" ,~~ j- 21-0i I't