HomeMy WebLinkAboutPermit Fire Damage Report 1986-07-18rD-16
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FIRE DAMA.GE REPORT
OR
ELECTRICAL HAZARD
TO:
FROM:
SUBJECT:
Name of ov/ner
Type of building
Bui'lding Departrnent
Springfield Fire Department
Structura'l Damage to Bui 1 di ng
Address or location of building ts55 /v- )1"!
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(i ng , Store, l^larehouse, etc.)
Estimated val ue of bui'ldi ng
Estimated loss to building
$3 Z^ ooO
$I 5oo
Date of fire ?' t3'Nb
Location of damage in building 0 rE
.C<)c) I
(Roof , [,Jal I , Exterior, Interior, etc.
Structural weakness as a resu'lt of the fire q-r ?l^
(Burned rafters , Beams, Joi sts, etc. )
Additional pertinent'information
Electrical Hazard Lr)\r
cc:
Siqned
?r
(l,{i ri ng , 0ut'l ets , etc. )
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DATE: 7' /8' i6
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