HomeMy WebLinkAboutMiscellaneous Fire Damage Report 1983-10-27
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FIRE DAMAGE REPORT
OR
ELECTRICAL HAZARD
DATE: /0-,;2.7-'33
TO: Building Department
-FRDr.l: Springfield Fire Department
SUBJECT: Structural Damage to Building
*
Address or location of building 1/;; 5'/ /'/tt/f) 5(
Name of O\'mer K/4'i1' RO'Z:ls,f- B~i9 (-
Type of building'
(Dwelling, Store, Warehouse, etc.)
Estimated value of building $
Estimated loss to building $ /Ot'?~
Date of fire
/D-0)7-'$7
Location of damage in building Prou,,7 "r- ),-UI/'//;', t./)r;>>/"/
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
Electrical Hazard ~n ), 't!td ~n rpl'>?o.J~d a,,"-/ /DOS~ p".}.,
",( l-Ol~e no+ IOlOI?6?r/y .sec..ur€d ,<p,.;d p/"o-lec7ed_
'(Wirlng, Outlets, etc.)
Signed / '/ ,,-1:. '_ ~
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