HomeMy WebLinkAboutPermit Fire Damage Report 1991-05-07:-
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FIRE DA}4P.GE REPORT
OR
ELECTRICAL HAZARD
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5-DATE:'?-q (
TO:
FROI4:
SUBJECT:
Building Department
Springfield Fire Department
Structural Damage to Building
Address or 'location of building -l-
I 'li ng , Store,rehouse, etc. )
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e
CName of or./ner
Type of build ing
Estimated value of building
Es timated I oss to bu'i I d i ng
Date of fire 5-1- ql
Location of damage in building affib.b2AdGrr- ttrt*
(Roof , l,Jal'l , Exterior, Interior, etc.)
)-
Structural weakness as a resu'lt of the fire
(Burned rafters, Beams, "1oists, etc. )
Add'it'ional pertinent information
Electrical Hazard
(l,lirinq, 0utlets, etc. )
cc PuJ cry' s 6 q\
S'ig ned