HomeMy WebLinkAboutPermit Fire Damage Report 1989-11-01\rogoba1
FIRE DA}4A.GE REPORT
OR
ELECTRICAL HAZARD
DATE: //-/' Vf
TO:
FR0r'1:
SUBJECT:
Bu i I d'i ng Depa rtren t
Springfield Fire Departinent
Structural Damage to Building
Addres s or I ocati on of bu i 1 d'i ng L/7
Name of ot/ner
Type of building
Estimated value of bui'ld'ing
Estimated loss to building
(Dwel I
$
s 3-foa
Date of fire -a/-
3
, Store, l,,larehouse, etc. )
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Location of dan'n-oe j n bui'ldi ng
(Rcof, Wal I , Exterior, Interior, etc. )
Structural weakness as a result of the fire
( Burned rafters , Beams , .)o i s ts , etc . )
Additional oertinent ;nformat'icn
Electrical Hazard
(l,li ri nq , 0ut l ets , etc . )
c
I l,
Siqne
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