HomeMy WebLinkAboutPermit Fire Damage Report 1988-06-08qxffip
*FIRE DAMA.GE REPORT
OR
ELECTRICAL HAZARD
DATE: S^ P'PP
TO:
FR0tl:
SUBJECT:
Bu 'i I d i ng Depa rtmen t
Springfield Fire Oepartnent
Structural Damage to Bui'ldi ng
Address or location of bui'lding .t73 J q6/-L
Itlame of ou,ner
Type of building ^ t/,/,.ziv /:4atL9
(Dwel {ing , Store, I,lirehouse , etc. )
$ -ga, o) ttEstimated value of buiiding
Est'imated loss to building t S, DA)
Date of fire /^ 9- r.P
Location or damage in building
(Roof , hlal'l , Exterior, interior, etc. )
Structural weakness as a result of the fire
(Burned raf ters, Beams, .loists, etc. )
Addi ti onal oerti nent i nfoma ti on
E'lectrical Hazard
(Wi ri ng , 0utl ets , etc . )
(
S i qned
coP{
- AI'NRESS*
:;73 S 4fiTH ST
TIE$(]R: F IRE TtAI{AIJE
*ilUNE N -
UNI{ NIlrJN
573 S 40TH $T
sPrLIr, 0R 9747u
.- INFil-
I{HT'A IR
EES IIIENT IAL
1J.11
llu iLIr INtS Ir l:v 1s ItlN J0I1{' s*0:i?3
*LEGAL- \
LoT Br.UCrv
t'INAI..
*VALIJE*
0
8U0608 / 8E0ril14
.ENEREY- .5TATS*
HEAII" X- BLTI': ZONE
H?O.- STOK IES TLfiOTIPLA INRANfiE. BETIEH CICC ftRp
UN ITS
$N EEET
CONST TYPTJ
-CENTRACTONS-
GENL*
CONTRAITI]R PHI]NH-
Pil",lB-
HLECT.
HETH.
TIE Sfi N.
kH P:I f,rlT *!40
SEA-H IN I}.iUI,I IN$PECT IONS + EENU IftEI.IENTS .---EXP TIATE--.ACT TIATE-
001-063-F IRE IrAi'tAfiE 8S06?4
sEn-- IN$PECT I0NS --rl0l'lt4ENTs---- *-nATE----RE5ULT-- INsp---
001_063-r IRE I,Ai,iAGE 8*06;.t4 0t( :5
,k qxffip
FIRE DA}4A.GE REPORT
OR
ELECTRICAL HAZARD
DATE: /-P- PP
TO:
FR0t'1:
SUBJECT:
Building Department
Springfield Fire Oepartment
Structural Damage to Building
Address or location of building s73 ( qo/l
Name of ou,ner
Type of building
Estimated value of bu'iiding
Estimated loss to building
[9 , Store, l,larehouse, etc. )
4D, ob rc
e//
(Dwe'l
$
Date of fire /^I - r.P
Location or damage in building
(Roof, l.la1 1, Exterior, Interior, etc. )
Structural weakness as a result of the fire
(Burned raf ters , Beams, "loists , etc. )
Electricai Hazard
(Wi ri nq , 0utl ets , etc . )
(
S j qned
coP{
Addi tional pertinent information
PLANNINC AND DEVELOPMENT DEPARTIVENT
CITY OF SPRINCFTELD
Don Moore
Lfua
y'E; srs t /rz
No Dtx//q?2,42 uL fumu/L
brtwraE To 4/b4, /R. J , azfb-o
I L,q
iJ
6-\t.r !v.0-zt\eO-;i.ta-
1$*J .-)
r-t3 ?3
-l*"t"-!,S^ila-
J
5 u,n-<-P
U\^D
Q-o=tlq
i.,\. -.,t \r-
\_*ho
J "t"
;I\6.-
]r
\-LnnN-Q-
r,a\9 $,BT,
a r l.6l u,^.s.
\J\ o.r.-vu.
o
%lo-...-.o *r.--J S.r,
J $;^
r1!J
J8
f\gj-s
^t o
f
6-r\Jt ')J
\Y!N-{-e-h q
cJ\\
o-\e- 3d )^no
&"s fi!-'- Y'to-^s^J
1r P \*-s.^*
J\ fr
] \.-,,- ^t \A61 \.&\.-..d o- '' \nU.-.--,
1J 6 _ 2_lo+r
OY\