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HomeMy WebLinkAboutPermit Fire Damage Report 2000-5-27 CITY OF SPRIN~LD Fire & Life Safety (h ap {- -ttJx:.E- 170 2 S ~~2 ~ re~/l, 1D~ {)()"' DO~; ~ - D I Sfou -{130 FIRE DAMAGE REPORT OR ELECTRICAL HAZARD DATE: 5"- .2'7- (J (\ TO: Building Department FROM: Springfield Fire Department ~ SUBJECT: Structural Damage to Building Address or locatio~ of building a; g 3 8 /U ,a\.^ "5.1 Name of 0\1ner Type of building. O:SL ~l. .,c:---.... ,.f.c L?,~ ",-.~-/1. ...h -, (Dwelling, Storer; l4arehouse', etc.) ( Estimated value of building $ Estimated loss to building $ Date of fire ..:Y - -;z..G.. - C'r (\ ~..-l~ -S/~~ Location of damage in building (Roof, Wall, Exterior, Interior, etc.) Structural weakness as a result of the fire got S/rl.J>elc~-~ : rlCr,-ILu ~C (Burned rafters, Beams, Joists, etc.) Additional pertinent information Electrical Hazard ;</C". Ii . /1'\7'. nC:.. q..:1-1r p , 5 c..;, ~ -4"- :/ kc/ r,Z__ A4 ..Q40 __ r (Wi ri ng, Outlets, etc.) - cc: .'5"-:30-00 Signed ~..sJ)~_#~"V <l. " .->1 "~ ) il d - Y f', r- Lz./