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HomeMy WebLinkAboutBuilding Fire Damage Report 1991-1-21 I · ~j9 qtObGJ . FD-l~ c1M.-C<..- - P fA.) . FIRE DAMAGE REPORT OR ELECTRICAL HAZARD \103301 I IOIO~ DATE: I - J.. I - q I TO: Building Department FROM: Springfield Fire Department SUBJECT: Structural Damage to Building Address or location of building 1('i;), I (')I'!-Q<;nrv 4t_ Name of ol'mer A Al h 114 \I. I-nv Type of building Dwtcll,UOl (Dwellihg, Store, Warehouse, etc.) Estimated value of building $ Estimated loss to building $ (,O,rJiJO _ no +-- J ..;- cJ ." 0 Date of fire I - J..\ - q t Location of damage in building /nrlf.lI'Cfr (J(J/JJlj{J1/ {OIO Wt/A. ~V hflJl'hJC-ffJ 6.e..hfhl~ (1)j).~" fl11(;('{) 1!J(l.IJf. I JJ~. (Roof, Wall, Exterior, Interior, etc.) Structural weakness as a result of the fire "iQ V) uc fLer.r-:cR.. , (Burned rafters, Beams, Joists, etc.) Additional pertinent information ~ Electrical Hazard ~ (Wiring, Outlets, etc.) Signed ~)tAJ, f j/fl{1A~1'--- cc: Pw (l~ 1-;:3-ql ll...