HomeMy WebLinkAboutPermit Fire Damage Report 1996-1-19
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SPRI~GFIELD FIRE DEPARTMENT
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FIRE DAl1P.GE REPORT
OR
ELECTRICAL HAZARD
DATE: /-/"1-14>
TO: , ..
Building Department
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FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
Address or location of building -L,9br.> (}jc..rrco lCL .Ed-
Name of O\.mer J;; e k",v- l!. ~ <: r
Type of building KC''''>1-c......v-o...'''--t-
(Dwelling, Store, Warehouse, etc.)
Estimated value of building $ 31>0 000
Estimated loss to building. $ troo
Date of fire
/-/9-7'6.
Location of damage in building N.E. ~^h W"'-\\ .....+ ~ h:l~
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
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(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
Electrical Hazard
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(Wirin~, Outlets, etc.)
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Signed ~~