HomeMy WebLinkAboutPermit Fire Damage Report 1996-02-11SPRIIiGFIELI FIRE DEPAiITIIENT
FIRE DAIIP.GE REPORT
OR
ELECTRICAL HAZARD
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DATE:z-tt.?O
TO:
FR0l.l:
SUBJECT:
Building DePartment
Springf ield Fire DePartrnent
Structura'l Damage to Bui 1 di ng
Address or 'location of bu'iiding t"L5 tu 3 gtw
Name of o\'/ner L'. :.-
Type of building "b' I
'l 'li ng, Store, l'larehouse, e tc. )
Estimated va'lue of bu'i1di ng s 5.ooo
Estimated loss to bu'ilding $.{, oo o
,,lrt
Date of fire 2 - tt- ?
Location of dannge in building I -a\ -
*.\ \i
(Rcof , I,Jal 'l , Exteri or , Inte rior' etc.
Structura'l weakness as a resu'lt of the f i re \1-ac>t .trJ .^-\\ 3 b.^'* L
Burned rafters, Beams, .loists,etc. )
Additional pertinent information
(
E'lectrica'l Hazard
cc:
d ^..^,....-
e
Siqned
9 l\at Lt.€.
(l,li ri nq , 0utl ets , etc .