HomeMy WebLinkAboutPermit Fire Damage Report 1986-08-31m-I6
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FIRE DAI4AGE REPORT
OR
ELECTRICAL HAZARD
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DATE: B - I i - 8 6
TO:
FROI4:
SUEJECT:
Bu i I d'i ng Deoa rtment
Springfield Fire Oepartment
Structura'l Damage to Bu'i1di ng
Address or'location of building 6ocl J ,,r, vl il
Name of owner ebris'l ;o 't C,qp,-(,sor,/
Type of bui id'ing
(Dwel I [g, Store, I^larehouse, etc.)
S 60,oooEstimated value of building
Estimated I oss to bu'i1di ng
Date of fire 8'lr - 0 t
$ 6o ,ooo
Locat'ion of damage in bui'lding l"tql
(Roof , l^/al I , Exterior, interior, etc. )
Structural weakness as a result of the fire
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Additional pertinent jnformation
(Burnecj rafters, Beams, "loists, etc.)
Electrical Hazard
(l^li rinq , 0utl ets, etc. )
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FIRE DAI4AGE REPORT
OR
ELECTRICAL HAZARD
+ gbcb//
DATE: B - I i 'I 6
TO:
FROI4:
SUBJECT:
Bu i I d'i ng Oeoa rtment
Springf ield Fire Department
Structural Damage to Bujlding
Address or location of building (ocl .l ,,r, ru ll
Name of owner Ob.is'l i*t C fil-I iolt
Type of building itl,u)
(Dwel I [9 , S tore , I.Jarehou se , etc. )
S 60,oooEstimated value of bujlding
Estimated loss to bui'lding
Date of fire I'ir - 0 t
$6o ooa
Location of damage in building 7rtql
(Roof , l.Jall, Exterjor, Interior, etc. )
Structural weakness as a result of the fi re ' nll o J l4!tp. Slor,r-
it'l
(Burneo rafters , Beams , ioi sts, etc. )
Add'i t'ional pert'i nent'i nformat'ion
Electrical Hazard
(l^l'iri nq , 0utl ets , etc. )
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
TO:
FROI,I:
SUBJECT:
_ Building
_ Engineering
_ Traffic
_ Ma'intenance
_ Bldg. Attendant
Bui'1d'ing Deoartment
Springfield Fire Department
Structura'l Damage to Bui l ding
Address or location of building eoc; .5iw ri lYl'#frf I edrST ?fl-/24
E
Name of owner iru A
Type of buiiding il
(Dwe1 1 D-o, Store, l,/arehouse, etc.
Estimated value of bu'i1d'ing
Estimated loss to buildjng
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TIME:E@
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$ 6o .ooa
PUBLiC WORKS GI|NE COMPLAINT FORM DATE
0oADDRESS OF COMPLAINT:
V IOLATlON/COMPLAI NT:
UO L.4
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COI'IPLAI NANT:
ADDRESS OF COMPLAINANT:
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PHOI]E:
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TAKEi{ BY:
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