Loading...
HomeMy WebLinkAboutMiscellaneous Fire Damage Report 1983-10-27 . 9321\ FD-16 ~. 4ffi;-,-~ .- ~ " 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:. '_ ~ V' cc: