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HomeMy WebLinkAboutPermit Fire Damage Report 1990-08-02FIRE DAMAGE REPORT OR ELECTRICAL HAZARD +qo{ o(1 DATE : 8'S -lc TO: FRCI'1: SUBJECT: Building Departnent Springfield Fjre Departnent Structural Damage to Bui I d.ino Address or location of build.inq )t f So,//l Name cf oe/ner d1 e-/u'/€ Type of building e /r'n (Dwe1ling,Store, I^Jarehouse, etc. ) Es tirnated va I ue of bu'i I di no s ,3 S,cY) c Estimated loss to buildinq lCCOs Date of fire 8's Locaticn of damage in building (Roof , t^/a1 'l , Exterior , interior , etq. ) Structural weakness as a result of the f ire l/<tytz- (tsurned raf ters, Beams, .loists, etc. ) Adci'i ti ona'i perti nent j nforma tion €/e6- El ectrical llazarci (tl/i r j no, 0utl ets , etc . ) - 1-to Qut Sjqned Ccr.-e d-4 - ft) t(-.