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HomeMy WebLinkAboutPermit Fire Damage Report 1986-4-8 ~@ \j . .- FD-16 SPRINGFIE~D FIRE DEPARTMENT FIRE DAMAGE REPORT OR ELECTRICAL HAZARD ~ ?(f)(J;)c(3 zj /~ 19b . , DATE: v TO: Building Department FR0I1: Spri ngfi el d Fi re Department SUBJECT: Structural Damage to Building * Address or location of building t.,:3 75 Name of O\'mer ~.e- KoJv<'.~ Type of building C;-O-J\...CUl..-L- ~ \-f-oLUU- (6~elling, Store, Warehouse, etc.) "tim,,,, "',, of boildi', I ~7, 6~~ h,"~ JtgOOD Estimated loss to building $ t. () Uu / Jl 8.00 1//(.,)<;((, / Location of damage in building 0,(0',-"'--"_' - c.LiJ c:;I ~I ~~A 'Svl.z t;(/ /1 '";-(.~. J C7-"J \,....~t.--C (Roof, CWall, Exterior. Interior, etc,} Structural weakness as a result of the fire '(' ,r)c,J ? /1;1 ~l^- sJr.u---r- G....<..a.;y- Date of fire ) /~ L.'( .1..4-L - /' Additional pertinent information ":::".. _\.- \...- ~--. , . etc. ) - (--' (Burned rafters, Beams, Joists, Electrical Hazard ~d (Hi ri n~, Outl ets, etc.) Signed L~ ~ f..-l~""",- cc: