HomeMy WebLinkAboutPermit Fire Damage Report 1990-2-13
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SPRINGFIELD FIRE DEPARTMENT
FD-16
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: ~ - /3'-ClO
TO: Building Department
FRor,l: Springfield Fire Department
SUBJECT: Structural Damage to Building
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Address or location of building $,~ ~,C:;- ma2v. sl. elf dJ 08
Name of Ol'mer ---L dlr riB I ~ 'K.Q. rS
Type of building tv\c~ a..e , 1,.+<.9vY\'"'l.J
(Dwelling, Store, Warehouse, etc.)
Estimated value of building $ 3:':5', () oe>
Estimated loss to building $ 7 ,C:: 0 (:)
,
Date of fire :;J. -II - 9 ()
Location of damage in building L-tu~ If,..".
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
(Burned rafters, Beams, Joists, etc.)
Additional per~nent information ,<;fvuc.+u./Ld./ J E /.Q.c..+V-I~
h1.e-c:.A"'~L(:.~.j - r :C1lA-fvop.>-t. WenrzQ6~ I .k<;.M~)
Electrical Hazard
(Wiring, Outlets, etc.)
Signed ~.";I ~
cc: