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HomeMy WebLinkAboutPermit Fire Damage Report 1993-8-27 FIRE DAMA.GE REPORT' OR ELECTRICAL HAZARD . /~D 'tJ~ 6U-,' 'Cl3\ . 'DATE: SI.-'Z?~C,~ TO: Buil ding Depa rtmen t \1101316\ D~\D \ FROM: Springfield Fire Department SUBJECT: Structural Damage to Building Address or location of building "2 ')~ 'Mc..:^ Name of o~mer 'pt..ul t(o'\r: (~",-,,^u) /AVI'j:r Type Df building An+', =tt, I r:; '* ( O<c,,;c.:+ ') . L;....;'-;~.,,- CoVV\ole)< c;"A-f 1<::, S-tarl'" (Dwelling, Store, \~arehouse, etc,): Estimated value of building S 10000 n , , Estimated loss to building S 10, (JCJr, ' Da te of fi re <;'-27-'1-., O~ SO' ',1. " ,",. LDcation Of damage in building (,.,L<,~M;':",.' A~f$>r; C,j::~~' d"""c-.~r fo IVe (0,... e.- ,uf (RDOf, Wa 11 , b"Jb>VVl ' Exteri Dr, 5;,..,c ~~ rd ~""'~;;; ',' +h;'r>v_'; ~..,T, #"/!? Interior, etc.) '"., -"" ' Structural weakness as a result of , the fire NrJ' ....,. . " " , , ( Burned rafters, Beams, ,10 i s ts', etc:) ": :,,<,; ,',:',~ '" '" . ,:. . ,.:~" . ;:>'~;'~'.(~. ..' l ..... Additi ona 1 perti nent i nforma ti on '3 f",-j: r~; (" i.;;" ~~'r~;:"~.;,(/'+,,' Me /C.. w: II I-I()~ n: -I~ I -f:,..- 5VV1Dk~,:... 1-1&.1&. -( ;..['<:;r<,:::L:, ' . .'. . ': .,;,,\:':': ':~:':::'-/L;): :.' ....- ,', .... to:. E1 ectri ca 1 Hazard I.A/;/"/';'tj ".-.' .... NE I/V&-./I ". ',. .:::..' '..'. ,,~;<:;.~;.:-,:;.;: :,t~c"'f\:' . <::..~,..-:<:"_.. ~vi(;'.L- ",1..""('" """.. .."".."; , v 'l-{",--,l! 7~0IC.' .'" "",-., I.:,' cc: ru.) t- 3rJ - 13 ~_ o " ",~. ./:::/. '~\~'-::.. i:~'" ...~'<:',',~':.~'~:~\~-:::~:i~i:;',: ~\;1 "';~j~r",I~;.;<.. .' (Wirinq, Outlets, etC'~:.)' .\:"! .", 'l"'~'<\'l\'~,~;: 'lJ'l"~'I;~' '-'.1; )j:';"',:. ' , . : ) :,..:,!:,~.;'\:,'''~~/:' "~:;f :";,"':;\'.~>,,,'..;<::l' . ,:",;>(',' :, ' . '" lith JI.' , . 'I .,' 'J,.rt. ~'" :r . - , I " .} . r., . . I : ':'~i')~': .,,:}',.o '''''''~'~~{~''<';;:'':'''.:'':'':''''''''-''-'''' . "I :'}/ ~,~ ';/#;,"} .",~I.' I' ;,,'1"' ..... .:'..:. . Slgned'. ~ '...,(,/:'" 7ii' ...' '.". .:! ,:,~ .. 1 . ,I , ,,',,', ::i::,;;:.;iU.1.~;\:~"": \:\;:;\~,r\1~~;;r~fj'::~1\<4,;,:;~;<:~~r;i.~~F.\~~~\~::,;"" I