HomeMy WebLinkAboutPermit Fire Damage Report 1990-07-21FD-1 6
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TO:
FROI1:
SUBJECT:
DATE:
Building DePartment
Spri ngf i el d F'ire DePartment
Structural Damage to Bu'i'ldi ng
JqO G
Address or locatjon of building
ti t 5l h
Name of ot',ner p
Type of building
Estimated loss to building
Est'imated val ue of bu'i1di ng $
11ing, Store, l.larehouse,
loooc rso
(etc. )
$Y{oo, oo
Date of fire ,,,tl
Location of damage in building
D
r0
iolO()fS .tA.{ ) l^,
Structural
(Roof,
weakness as a result of the fire
l^lal I , Exterior, interior, etc.
(Burned rafters, Beams,Joi sts, etc. )
Addjtional pertinent informat'ion
CC o
S'iq ned
etc. )
t
Electrical Hazard
(l,li ri nq, 0ut) ets,
Suo
lr
JP IrL I r tQ'?o