HomeMy WebLinkAboutPermit Fire Damage Report 1987-03-01TO:
FROH:
SUBJECT:
FD-I6
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FIRE DAI4A.GE REPOP.T
OR
ELECTRICAL HAZARD
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DATE: 3- | -O1
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Building Department
Springfield Fire Department
Structural Damage to Building
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Address or 'locat'ion of bu'iiding JJS N,TL
Name of ov,ner flr.Jp<-.,j \nO?r,af
Type of buiiding bw.tr
lling, Store, I^/arehouse, etc.)
Estimated val ue of bui 1 di ng $ 5S, ocr O
Estimated loss to building S 3oo Qv
Date of fire 3-t -e-l
Locat'ion of damage i n bu'i1di ng 0e,' /,
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(Rcof , hJall, Exterior, Interior, etc. )
Structural weakness as a result of the fire
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(Burneci raf ters , Beams , Jo'i s ts , etc . )
Add'it'ional perii nent i nforma tion
Electrical Hazard ht)r)t I frZk, J
Oi re-e<--/ breo lt n O L.*
(l,ji ri ng , 0utl ets , etc . )
Sjgned 4,."-t' fr,i-rortcet<.)
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