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HomeMy WebLinkAboutPermit Fire Damage Report 1999-01-31lT oblul-03(o-'b ??.lzo?I' Srl 1 c=al FIRE DAMAGE REPORT OR ELECTRICAL HAZARD 5 DATE: r-)t-3r-'i p{ 1 TO FR0t"1: SUBJECT: Building Department Springfiel d' Fi re Department Structural Damage to Building -1"Address or'location of build'ing C Name of or./ner Type of buiiding A, ^.] ,q t -'Lf (..n / /c, Estimated value of building /.9 0 Coo. - T Estimated loss to building $ 5 ooo. Date of fire crr- f l- ta Location of damage in building e . S-t o, ,^4 ) rSG t /r:f7^,, -F*+t) - ln/a I I (Roof, WaIl, Exterior, Interior, etc.) Structural weakness as a result of the fire /r/o (Burned rafters, Beams, .)oists, etc. ) Addit'ional pertinent information E'lectri cal Hazard (Hiring, 0ut1ets, etc. ) ?tr, z-tI.q1 c_4-_ (CC Signed