HomeMy WebLinkAboutPermit Fire Damage Report 1993-8-16
,,/'
"
/
.
.
-?j,~~!,
.
CITY OF SPRINGFIELD
Fire & Life Safety
FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
\10()~S \3 OOlcO\
E66t 9 r 9n~
DATE : ~ - ~ - e, ~
TO: Building Department
FROM: Springfield Fire Department
SUBJECT: Structural Damage to Building
~
Address or location of building 7_00 C, VL1<dU./~ ee) ,
z"~ E II~:-
Name of O\'mer PIlUle., \,.J1""'..,,,""""'.....+ JPfAuJ ("'";~f:,,...rc... 1/.........".., W....
J .
Type of building Af+. [&_,11(,(
(Dwelling, Store,
Estimated value of building $
Estimated loss to building $
Warehouse, etc.)
tiC/
-z.O(J ClOt') ---
Son, ()~
Date of fire
g'-8'-'1~ '
Location of damage in building
A.o-l- :# It.
,
....~ ZI
~~(j / ~-I;D
.
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire h/./,.,.,.~cI Ivl tI1;rt!: ,-,;.I-/e..-
//1 o/uk tll -# Z I
. (Burned rafters, Beams, Joists, etc.)
Additional pertinent information ~(r"6Ir C/...."",.eT,I.z
,/
w.... -I MoL.!' t1t II,.! -# i: I drd-' I?k......., ;:'n
.
,I,,,.d#/'L/ ;~fr;
. .
5";~~4~ b~fu,,~~..,
.
J,,. A..... r"
Electrical Hazard ~~
(Wiring, Outlets, etc.)
Sig~ed ~~#
- r
>
\
cc :VuJ
Cj-/3-<i3 ~