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HomeMy WebLinkAboutBuilding Fire Damage Report 1996-8-21 CITY OF SPRINi-~ Fire & Life Safety. . . 1ep liS! II Os 0lL-j 3~ 04900 srqCo'2~&l FIRE DAMAGE REPORT OR ELECTRICAL HAZARD DATE: /r~.l-I.q 6 TO: Building Department FROt~: Springfield Fire Department SUBJECT: Structural Damage to Building 'Address or location of building / L{ (, I () ".lIto_,., Name of 0\1ner l.. J: II i '..u.. /)n~ II Type of building ()ulL(/i'Uj . (fBWelling, Store, \~arehouse, etc.) , Estimated value of building $ /60 ,VOl) Estimated loss to'building $ 700 - 1'0"/ A/'J,/(.It;,). 1 I Date of fire C'. 0" )...l ' qc, Location of damage in building jr()O".{ /1 .lop k) ;; iik') 9 / il '> i,Jtu, ItuU e c! r . 11 / ev I J" dJiL.} ( " rP ..u.t ,,/ II re . J~ior, etc.) / .; _/.. 1 "'li2lJ..".) ~ t.i:tu.i W"- 1<",,-'. ,.;;;j. (Roof, Wall, Exterior, Structural weakness as a result of the fire 15l. (Burned ra Hers, Beams, Jo is ts, etc.) Additional pertinent information '& Electrical. Hazard ~ (fJirinq, Out]ets, etc.) Signed ..J::',,'II"~ tP f1/!ulI'loL;.. I I , C( cc: .~ . ~ I.. (;, fl.,0 0,'.'i- (j.