HomeMy WebLinkAboutPermit Fire Damage Report 1991-07-26i r-rQ
FIRE DAMA.GE REPORT
OR
ELECTRICAL HAZARDo DATE: 1- 26 'ql
TO:
FROt'l:
SUBJECT:
Building Department
Springfield Fire Department
Structural Damage to Bui'l di ng
Address or location of building tt/sr I b \T.
Name of or.Jner i)er,rr.ri. S*,oN o"it-
Type of buflding Tloll;n,"['{*"*** b( L Q- h",,,-.h B;.1 d3
ffi, wJretrousel etc-)
$ooEstimated vajue of building
Estimated 'loss to bui iding $ A,ooo
. Date of fire 1-?$:11
Location of damage in bui)ding
(Roof, l.Ja l, Exteri r, Interior, et
Structural weakness as a resul t of the fire
,-
(Burned raf ters , Beams , "1oi sts , etc. )
Add'i ti onal pert'i nent 'informa ti on {t.. hre oiNr'' ir)\\s t)tzflta b"o(rT
shd
Electrical Hazard
(}^liring, 0utlets, etc. )
S i qned {o ,.t P t\nnul*
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