HomeMy WebLinkAboutPermit Fire Damage Report 2000-8-1
CITY OF SPRINGttLD
Fire & Life Safety
flab #: Ob - 1),/..1 g~ - 0 J-
0/70 13 LfLf~ ()/LjO I
'\Sfov- zG,1.0
FD-16
.
FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: g:>,- /- 0 (;
TO: Building Department
FROM: Springfield Fire Department
Address or location of building
Name of owner kR.rl >.,.-li
6., 6 4 S M&."x
L, ~~ __-t,p,dA
- - - -
Jf
SUBJECT: Structural Damage to Building
Type of building5.A.c t4 ~.., L1
r (Dwelling,
k'UI.':"-.. ,-t..J'p
Store, 14arehouse( etc.)
Estimated value of building $
Estimated loss to bui1dinQ $
/crC. a~(".
,
--::; ~ 0 C>-G
Date of fire
g- /- (5 <.:
Location of damage in building SPr Ac..'. 5, ~~ R....<,..),'~, oj.)
~- ~~.....",,-,kbL~r,.
(Roof, Wall, rherior, Interlor;'etc.)
Structural weakness as a result of the fire
, fos;.J.
(Burned rafters, Beams, Joists, etc,)
Additional pertinent information
Electrical Hazard d-c.-.':r~ ,.-...._,. -I-
'SR-=~ S(.CW-....L
I
(Wiring, Outlets, etc.)
cc: ft,J <6- 1- 00 ('..PI ~
o
Signed ~t..."" f:;~. ,~~