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HomeMy WebLinkAboutPermit Fire Damage Report 1986-09-17m-15 ,aefro'l:!,,,r "o yc{(eObtFIRE DAJVIA.GE REPORT OR ELECTRICAL HAZARD DATE:?-t 7-84 TO: FROM: SUBJECT: Building Department Springfield Fire Oepartment Structural Damage to Building Address or'location of building / ?2t ,/"g-- Name of or.rner Type of building '/s. S."sb fa*i/y_ fue//v'," -l Est'imated val ue of bui 1di ng $ 23,odo Estimated loss to building $ YJ fcs."3 Date of fire ?tz- te A nso ? Ae r Location of damage in bui'ldingip il 8, @4"4 * adar*/ Afu*z f 7 Structural weakness as a resu]t of the fire ' .Eupr"/eetlz- fl*rr4 (Burned rafters , Beams , Joi sts, etc. ) 7 Additional pertinent information Electr'ical Hazard ' ^ q U:lltotO/ ,9r/ --S&.r421,---7- Ctocrr/ /*. cc 5 iqned l'- (l.lirinq, 0utlets, etc. ) a I -?ro 2o l f,za /t;zu--7/ar:z ,4r /?z; lye /dft7 7ra fuzb 7*z2,=- QzaFD /orz:r.4F fica*z:c=b l/-llr',777/l?4 lffi *aza /s ,,? firfi4a.v V4 7/a-f,22,/ R ?x /ss1 y'roa**7 a ?.=-rE rD-l6 N\ .\\ -$u tr N\\ ^($\,- r O FIRE DAJVIA.GE REPORT OR ELECTRICAL HAZARD *qbob' ?-t 7-86DATE: TO: FROI4: SUBJECT: Bu'i I d i ng Deoa rtmen t Springfield Fire DeParfrnent Structural Damage to Bui'l di ng Address or location of building / ?2t /", /tL Name of ot'/ner ? Type o f bu 'i 1 d'i ng Es timated va I ue of bu'i 1 di ng Est'imated I oss to bui lding e//n , Store, I^/areho se, etc. )(Dwel I i $J 3,oo o 1nJ-oc) s /-rDate of fire rte A os o? hes o Location of damage in building t i il //.8. u/?tz- * (Roof, lalall, Ext ior, Interior, etc Structural weakness as a result of the fire f,*r4 (Burned rafters, Beams, Joists, etc. ) Add i t'i ona I per ti nent i nf orma ti o n c€i 'r'| Electrical Hazard Caocr/ /*n S i qned f (l,Jirinq, 0utlets, etc. ) t Q- 4t1 --,4.r' )b-'.-e ,// "/'-ia fur< d-*4 A)-4* No uYEA /<*t+P>\) rytEl.) p)s,c<ett 7a t.-rltaayZ*( q<l>t oi) A - LJaT S*rczq t rt4 t{o *a- -n ur/*r' u+-r' tilir^7 r's Sd A sE*llt^*)^ffi, !.-tt,;- -U'*J4 ' c.y J d-r( /Loc*t'*"2 a6ovl 7 ffiu U)da,3 r tu .<>/o+l ry.-+ '4a t-{'*a +.).[q*r/*-W Tr^rlorr- ..J,u/4/4 q4 { oua,vlA{4 * 2 #L, "t ffi"/h*/*4 ,-rr -ffi /-/*J+ fu /raa-u4ea 7*r. t,t-1,vf,I N # I STRUCTURAL INSPECTION REPORT l?>s ^J, /(-ThJOB ADDRESS Ol^lNER DATE PHONE ADDRESS & TENANT OR OCCUPANT TYPE OF INSPECTiON' - HOUSING OCCUPANCY COMPLAINT FIRE DAMAGE I Ii.ISPECTOR / 7) ni/