HomeMy WebLinkAboutFire Damge Reporti
_ - BUILDING & ZONING DEYt'_
FIRE DAMAGE REPORT
DATE.. G -2� g" 2•:0��
OWNER:
ADDRESS: h4` 1 4,G1 12i'vev- /0VY✓e
TENANT:
Th above premises have been inspected by
Cjfle— !/l-V"* and the following -items must a done to
bring building up to code:
Plans 'Required
Electrical
Plumbing
Structural
n is ntrhere
Signed:
Title:
BUILDING PERMIT NEEDED:
Ulf
91,