HomeMy WebLinkAboutPermit Fire Damage Report 1987-11-18FD-16
#frorra
FIRE DAMP.GE REPORT
OR
ELECTRICAL HAZARD
DATE: l/8?
TO:
FROt'l:
SUBJECT:
Building Department
Springfield Fire Department
Structural Damage to Building
Address or location of bui)d'ing f.rs d rBR st
Name of ot^/ner N e,! ttal i Jr-N\rF\lvi€^tl
Type of bu'ilding Dwr- l[
i1ing, Store, I,Jarehouse, etc.)
1ql -44 c,tl
Es tinrated va I ue of bu'i 1di ng
$X'So - rL)
$ alOo n .nc
Date of fire Il-tq',-g
Locat'ion of damage 'in bui'lding
(Roof, w"al l, Exterior, Interjor, etc.
Structural weakness as a resu'lt of the f ire h)cltj L
)
(Burned raf ters, Beams, '1oists, etc. )
Addi t'ional perti nent j nforma tion
E'lectri ca'l Hazard Idr,.rr)e-
(lrJi ri nq, 0utl ets , etc. )
\
cc
Signed
Estimated loss to buildinq