HomeMy WebLinkAboutPermit Fire Damage Report 1983-05-07m-16
FIRE DA}4A.GE REPORT
OR
ELECTRICAL HAZARD
DATE: 5 ' 7-83
TO:
FROM:
SUBJECT:
Building Department
Springfield Fire Department
Structura'l Damage to Bui 1 di ng
Address or 'location of building /.1 4 / fi,tnAr// ,/ sr
Name of ou,ner T,E
Type of building X/a'Ki /tulr 4rua
Estimated value of building
(Dwe'l 'li ng , Store, l,Iarehouse, etc. )
$
Estimated loss to building $ /Q, ooo
Date of fire
Location of damage in bui'lding
(Roof, l^lal I , Exterior, Interior, etc. )
Structural weakness as a resu'lt of the fire €E 2
(Burned rafters, Beams, Joists, etc. )
Additiona'l pertinent informa tion lE/JrtlA /ttlPflcfeD €asr /d4u-
Kiloern )/n Our tD/?/L .y' ,Srnct c-fl )Rt+/ - tf c; ?Pa<-T o F
BrtsprtL| /ilntz Dauaet T,q. frOE TRUSS
E'lectrical Hazard -F,as7 4 .fo arl /Unz-
(I^liring, Outlets, etc. )
CC
Signed
I ),tPrt/ y'n<r /t)u,t* . fns- tp>