HomeMy WebLinkAboutPermit Fire Damage Report 1989-11-27rD-16
\1u35aar-'b4t3I NGF I ELD F I RE DEPAR.TMENT
FIRE DAI,IP.GE REPORT
OR
ELECTRICAL HAZARD
DATE:7 FZ
TO:
FROI1:
SUBJECT:
Bui I d'ing Departnent
Springfield Fire DePartment
Structura'l Damage to Bui 1di ng
4Address or iocation of buiiding
tn be-
Name of ot'/ner
Type of building e
(Dwel f i ng , Store, l^larehouse, etc -
Es t'ir,rated va I ue of bu j 1 di ng o
Estimated loss to buiiding a
Date of fire
Location of damaq e in building o
(Rcof , Wa'll , Exterior, Interior, etc-)
Structural weakness as a result of the fire fa>i,
e&.-L
)
(Burned rafters, Beams , Joi sts, etc.
Additional pertinent i nforma ti on 'a
Electrical Hazand LG*'i
cc
Siqned
,?r*t
b 5(l8 ,
irinq,0utlets, etc.
-*Tafq
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