HomeMy WebLinkAboutPermit Fire Damage Report 1987-03-11Sfl)-oSi2-
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FIRE DAI,IAGE REPORT
OR
ELECTRICAL HAZARD
DATE: 7 lr
TO:
FR0r't:
SUBJECT:
Building Deoartment
Springfield Fire Department
Structural Damage to Building
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Aqo, t
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Address or location of building Z N. 21 t€
Name of ot'/ner
Type of bui id'ing
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1 'li ng, Store, I'lareho use, g t^(
Estimated value of building s 4o asO
Est'imated I oss to bu'i ldi ng s fle-
Date of fire
Locat'ion of damaoe in build'inq
(Rcof , trjal l, Exterior, Interior, etc.
Structural vreakness as a result of the fire Nona
(Burned raf ters, 3eams, ,-10'ists, etc. )
Additional Der*.inent information
El ectri ca'l Hazard
tl ets, etc. )
siqned W m. ffh1r"d
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