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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* ql