HomeMy WebLinkAboutPermit Fire Damage Report 1999-03-18t1)zJi)'4-b 0090D ru-1b
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FIRE DAI4A.GE REPORT
OR
ELECTRICAL HAZARD
DATE: -3--lP q9
TO:
FR0l'1:
SUBJECT:
Building Department
Springfield Fire Department
Structural Damage to Building
Address or location of building .'Ro 3q tx sf=_.-t
Name of or/ner
Type of building
(Dwel I i use, etc. )F€t
Estimated value of building o
Estimated loss to building $ .s-,
Date of fire .1 -\r-q 1
Location of damage 'i n bu i 1 di ng G^ l\-'c-..,.,yL\[l--.. /t,i",t\
(Rcof, Wal I , Exterior, Interior, etc. )
rF \Structural weakness as a result of the fire
It S
(Burned raf Beams, .)oists, etc
Aociit'ional pertinent infornat,on
Electrical Uazard 0,.I N.-*r.\-- , -,.i*, --lo '.-o\\
CC:
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S'iqned
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