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HomeMy WebLinkAboutPermit Fire Damage Report 1983-07-06FIRE DA}4AGE REPORT OR ELECTRICAL HAZARD bzt%\ (Lt,/, [ //s3 rD-16 fieraan€D 7D *ffi<,/a(frv* 2-?-*3 W.Af*fD 2*l( *c? DATE: TO: FROM: SUBJECT: Building Departnent Springf i e'ld Fi re Department Structural Damage to Building Address or location of buiiding Name of ou,ner .r'7 1..,--,,- "t),u.&. *^:/a.24 Type of building se, etc. ) Estimated value of building /')4 ; '= ,/ , ;''l ,,/, $ 3c dco Estimated loss to building $ ,5,La<1 Dateoffire 1-L-83 Location of damage in building J+0,"1 A (Roof, l,Jal I, Exterior, interior, etc. ) Structura'l weakness as a result of the fire lu'o-'-( /{ru.,--.7<- -,)L'l,t/1-<--t -1. Burned ra s, Beams, Joists, etc. ) Additional pertinent information Electrical Hazard ,/"*en-rr-o.' ,)/".7 Lr"--r-rr-, "t' 6r.^/ A-a'" i ng , 0ut'l ets , cc: l,l i r S i gned etc. /l n -7cl "4?7 STRUCTURAL INSPECTION REPORT \..JOB ADDRESS 0HNER -l\w ^ .\ t \>.\.ox1 DATE PHONE ADDRESS TENANT OR OCCUPANT TYPE OF INSPECTION: HOUSING OCCUPANCY COMPLAINT FIRE DAMAGE \ INSPECTOR C\-B.Rr Elo.ctrical Inspecrion'keport (o.9l-jlza 726-37s3 ) YvIRING INSTALLER AOORESS AOE)RESS lclTY OR rowxt ADORESS OF lNSYALLATIO!' NO TYPE oF srRucTuRE , " n,^?4 P u=.@a.r.,^, A o^r. 7'd-B < wtFlrfic '"ETHoo: H.N'METALLI. sttEATllEo CABLE ffio"uocAaLE [-l aon orrr D - powER co. OIYNER (crTY (,R rowxt CHANGES OROERED ://a6) covEn I tISP€C TO R FlT\TAL ACCOMPANIEO 8V