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HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 1998-6-14 f FD-16 8'- '))... :3~' 3'3 O? LfOL( \ S(: crZ' -ICf03 ,"- -.-:. . CIT Y OF SPRINGF'~LD Fire & Life Safety " 1<(O~9Lf FIRE DAI~,lI,GE REPORT OR ELECTRICAL HAZARD / DATE: ,I ,.'-ILj-tY TO: Building Department FROM: Springfield Fire Department SUBJECT: Structural Damage to Building Address or location of building '7/9'1 J3l/,( ix-lie l../\.~~I I Name of O\'mer Type of building ;Jv/) t/x (<:.-<1<.>+ $/&_) , (Dwelling, Store, \~'arehouse, etc.) Estimated value of bUilding $ /(0) c:ro<.) Estimated loss to building $" .20; O()() Date of fire6r/Y-J)! Location of damage, in building fJ/r :LA.r7'c-/'..'c.).'( ~ (Roof, Wall, Exterior, Interior, etc.) Structural weakness as a' resul t of the fire /3<..d'/\/cJ ~'ruS V,,,S I rJ' 60drc}o/~ Ct/-.../) C.n/<A<j< " (Burned rafters, Beams~ Joists, etc.) Additional pertinent information El ectri ca 1 Hazard W.',"'L. ','Vf (J.Je is. ,'~+~ ruvi.:, L l''h /1 I """ ' /~vp/e\.- " , (Wi ri ng ,Outl ets , etc.) Signed' /1-1 /11 ~Ci-tr-f ( cc: rvJ {p-/l:,-q?; €1'