HomeMy WebLinkAboutPermit Fire Damage Report 1984-11-08m-16
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FIRE DAT4AGE REPORT
OR
ELECTRICAL HAZARD
DATE: g-!*' lf
TO:
FROI4:
SUBJECT:
Building Departrnent
Springfield Fire Department
Structural Damage to Building
Address or 'location of bui 1di ng \L{qO }-rrr-\ 1\
Narne of otrner \\o5o'-Lqt-*!.[
Type of bui ldi
Estimated value of bujlding
Estimated loss to building
(bweiting, Store, l.larehouse, etc. )
S 3l'1 oror>
$ t o^-o-
Date of fjre a Pou..-.-\or- 8Y
Location of damage in building
(Rcof , hlal I , Exterior, interior, etc. )
Structural weakness as a result of the fire
(Burned raf ters , Bearns , .-]oi s ts , etc. )
Add'itional pertinent jnformation s\o^r.*s\*-Qtc;[tr\t
\.-\a-e-
Electrical Hazard
(hli ri nq , 0ut'l e
U, n--*E* r, ci* C", I g r..e4\ ,
Sig
ts , etc. )"'))""h;'* c!'n'^o7'<-'J '-''\ ( '!
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S"L s4 o 0
FIRE DAIVIAGE REPORT
OR
ELECTRICAL HAZARD
DATE: 8 PO, 8
TO:
FROI4:
SUBJECT:
Building Department
Springf ield Fire Oepartment
Structural Damage to Building
Address or locat'ion of building \t{qo p,r.-\r 1x\
llarne of ot'/ner \\o-*-y Lo-.-*ii*"-13lr. (-r.rt* Dv:.^,r- i,^+*.-c-
Type of building D
Estimated val ue of bui 1 di ng
Estimated loss to buildinq
Dwel l'ing, Store, [,larehouse, etc.
$ 3$7 ouo
$ t-<r*-"-
Date of fire X tJ ou.-..-b"-.,- tY
Locat'ion of damage in building
(Rcof, h/al l, Exterior, Interjor, etc. )
Structural weakness as a result of the fire
Addj tional perti nent'i nformat'ion
(Burned rafters, Bearns, Joists, etc.)
,.r.o-e& s\c**
\o- c-\rs-rb$
Electrica'l Hazard
(l,li ri ng , 0utl ets , etc . )
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