HomeMy WebLinkAboutPermit Fire Damage Report 1996-07-11C TY OF SPRINGI jLD
Fire & Life Safety
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE:?-il'78
TO:
FROM:
SUB"lECT:
Building Department
Springfield Fire Department
Structural Damage to Bu'i1 di ng
Address or location of building
Name of or.,ner Lc o G.-
/as s" Ll1
([ r^-]
Type of building
Estimated val ue of bui1di ng
Estimated loss to building
.i[n
Dwe11ing,Store, l^larehouse, etc. )
$ t soc)C(,
Date of fire 7-t /- l/.
Location of damage in building /* a.rl a-u,c(
(Roof, l,,lail, Exterior, Interior, etc.)
Structural weakness as a result of the fire
l'L,
(Burned rafters, Beams, .loists, etc.)
Additional pertinent informat'ion
Electrical Hhzard
(l,li ri nq , 0utl ets , etc. )
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S i gned