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HomeMy WebLinkAboutPermit Fire Damage Report 1984-1-29 ------ --,-,-,., r- -' 5' F9c{ -0 I (, ~ / .. , / FIRE DAMAGE REPORT OR ELECTRICAL HAZARD ~qOO<6~- DA TE : d " ,\ G1.-- <:t'f TO: Bu il ding Depa rtmen t FROM: Springfield Fire Department * SUBJECT: Structural Damage to Building Address or location o cc...~~-t-- Name of 8'"II'ler of building 1..0 ~ 7, 0 (Y\ cU. \to- I\'\~ c..\~ s+ ~'l Type of building 3)-e...~,,<ll.. F\ f~w.-,+ (Owe 11 i ng , Store, Warehouse, etc.) Estimated value of building S Estimated loss to building S Date of fire d "\ J~ v'I I Location Of damage in building (Rcof , Wall, Exterior, Interior, etc.) Structural weakness as a result of the fire (Burned rafters, Beams, Joists, etc.) Additional pertinent infor~ation ~~_ C~~~ H~ .J,-'A'./-IJ"~"f'oJU/I"~--'-/..ctv 1M <;"'u/ol:<J'oy1 ~ '~"/-I.O~~, ~ ~ ./~ fP_"'--,,;-....{:__~~ 4~~~A-/T'..R~C)(( , ~. Electrical Hazard ~~ e\.....,J.~"Cco9- 3:~ ~ .:!]J ~ - ~~~~ (WE;! n9, Out1 ets, etc -- ) ~-- ~_-::""L...._,~ D, 4.." 0- J - ~ h -Ie;;;) Signed ~[ll~LP~1 ( -- 0~~ , cc: I --'---r- //. . . " FIRE DAMAGE REPORT OR ELECTRICAL HAZARD 5' FB<{ -u I b ~ ~ ~OO<6t DATE: ;;J~ .\~<:ty TO: Building Department FROM: Springfield Fire Department SUBJECT: Structural Damage to Building Address or location of building I;J cc..~""-'~ Name of 8'IIRe'Y;1 0S ~O (Y\ <i.J.v-.. IV\ ~ C. \~ Type of building '3) .e\" '<1l:.. p., fJw.u~ (Dwelling, Store, Warehouse, Estimated value of building ~ Estimated loss to building S Date of fire d" 0Ov.... V. V I Location Of damage in building (Rcof, Wall, Exterior, Interior, etc.) Structural weakness as a result of the fire (Burned rafters, Beams, Joists, etc.) Additional pertinent information * +<& etc. ) To <HAS'-1C:;:- -z. -/~8 'I I I e\.",J.'-.--c..9. ~~ c.LJ::.. Electrical Hazard ~~ ~~~ (W~ng, Outlets, etc.) cc: c-/!..-' S~, Signed .~jl t~LLlI . . , (b~~ . 4hvc;;;)