HomeMy WebLinkAboutPermit Fire Damage Report 1982-7-20
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BU'L
DING
DfPr,
FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: 7-a7o-tf.:L
TO: Bu i 1 ding Depa rtment
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building .I~a'8 fiLiRLt?I.JL.Li.nnrJ
Name of owner pNKN"'-')~
Type of building C/9/f/9(:,E',<iJlE/J
'(Dwelling, Store, Warehouse. etc.)
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,Estimated value of building $ 5(>,000.00
Estimated loss to building $.."'?..~'ZIO.,.,,..,
Date of fire _7--.7/)-2';)"
Location of damage in building
THE ~.E/J ,ATr.Nf".JIL/), A/'oIO .'5/Jl./rH
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POP.7P)~ OF CA~.
, (Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire /i'NlJ:-LJUNNE.D RAFTF.A..'S L1~4m.s.
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~.II,<;-EI.J~NE/J 5.7'/1/1<:
(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
Electrical Hazard
(Wiring, Outlets, etc.)
Signed~~QLI
cc: