HomeMy WebLinkAboutPermit Fire Damage Report 1985-03-31m-l6
J ,, t- t 1';,-r*'jr"
FIRE DMAGE REPORT
OR
ELECTRICAL HAZARD
EL DATE:3-3/- 8{
TO:
FROM:
SUBJECT:
2
Building Department
Springfield Fire Department
Structural Damage to Building
Address or location of bui'lding /4( c {,*/
Name of ouJner rtsN CouP7z/J
Type of bu i 'ldi ng Stuc 2ruezt1ilcr
19,Store, Warehouse, etc.(Dwel'li
Estimated value of building $.? 5, /-za
Estimated loss to building $.{.t
Date of fire 4
2 - 3 t- y<oo:2/
Location of damage in building b //{.1 )
(Roof, l,lal'l , Exterior,Interior, etc. )
Structural weakness as a resu'lt of the fire A)ape
(Burned rafters, Beams 'Joi sts , etc. )
Additional pertinent informatio n ,U e eo.s LOrEruG /,osEeC4-.I aa.)
Electrical Hazard
(W'iri ng , 0ut'l ets , etc .)
cc
S i gned
C
7y',
F