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<br /> ;' _ BACKWAfEI: !'RI.VFNIlON Of VICI I INnI_ '
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<br /> '!�S��I��B�ion Company tJ81111?flli:� �.IPI�.1'.'1 :li��.� ,�1•� I� . � / r r`f'.. . � . i /! � � '/' . 'i ` . ��( .
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<br /> L'�le BaCk�v21e.' PfPVC111i0f1 flCVit%� ;l�WI) v:� , in ,i �I�. ; ;r - > i
<br /> � '� ! � I).:I�� Iltr. bni�� �v� . nny�b�b �l —�i-.=.!'�•. i
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<br /> �r5!d��8�10i1 �iO�Blly�;vnei N31�I�:.PI'��.illll.ui ��I�ii � , . � . �. . �•�" , . . �, . �• ' I
<br /> Proncrty Atldress _( / ; ,'.,; _ , �
<br /> Pre•Instaliation Inspectinn Chccklisl: �
<br /> �iil d�ms mu57 he che�k,ed'Y�s'ni nrdcr l�r .i 1iWll lu br,�,:,�;�t��rrrf l�u in•,I,ill.di�rir �
<br /> ;Is �here a basem�nf ur levr,l nf ILe hnuse!h.d c, ;i' ui n��.n .r;,un!cd•;c�wri m,iin�•I�•v.ibnn' ���1 Y� •. ; �Nn
<br /> Are�h��re fix�ures in Ihe house fo;:r�led bclnw Ihe up;lqi:lllt 5L•l7ef I1111�IhUL� um��Icv.�hnn'�� .'� Y,:•. � �,V,� �
<br /> Is!i c si:1r. sc'..at Currr.n�ly UNPROTFCTFD frum s�xti�v Icicki�p•;(duc::nnl h:wc:i IiWI l nr:!,illed)��'-{Yr; I �Nu ,'
<br /> Sitc Inspcction Checklisl: �
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<br /> /;H rferAs musf bB Ch�CkBd 'Yes'bL'101�inspcc(�nrr c;ransdc�co cu�nplrlc
<br /> l�l'a=.side se�ver TV inspr.cled from huilding lo sr.wcr m:un� �'�'yc; � ��Ju Cuiuhl�uii �
<br /> Does side Sev�er havr. al Icast i'%�slopr.lrom Ih�: biuld�nq lu set�;ci m;un� � '�j 1'r: � i N�� Ur:,cnln� I
<br /> Hrwe all building setiacrdrain r,onmr.6ons L•i�hr. :adit sis�•ci bcc�i idrnt�hcii,md hu.dcd' � '�1"c, � �Nu
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<br /> Ha:�e all properly s(onn drainaye r,pnne[liun; !�� Ihr, s�dr. �anvcn c�en iAr.nlil�r�l.wd luc.dc�l� i >f Yr:, � �Wr, �
<br /> Ha: prope�7y bCen evelu3led'or drdm;�yc dr.hr.icn�ac•; tvdh luidinq ,�.urunutm:.ih•d� : i.:��u��ily�nwu�i-' � -j Y�". I � Nn i
<br /> Ins�allation Dc�ails: i
<br /> 1'Jh21(ype and hrond Of HIND�v,15 m51�112d��I thi�;•,dc(Clc;w Chcr.k HW1/. Gnndia pmnp. rlr.) �:�. •.i+�Y, C_�If C C' F j
<br /> _l../l�'h�retv,islhedc�v!ir,cins(alled(gcaierI�3ldesr.uphon, ;ilt,ich��i,ip)'� %f• � ri� .•� N,:� t <'�/,vi •: f: �' ��t�:s. ' i
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<br /> 1'i�s IherC�3rly olh;�r,CwCt of Slorm drdm;rgC a�•irk r,umpleled m cnn�unchun �vi�li Ihe lil-VI)wrnk71:su pine�r dc,cnb�• j
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<br /> Inslallation Chccklist: - - - -
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<br /> Are��U do�vnspuuL; �anil s�U�dr.iin�u�r. discnnnecicd lium up�.hcnn�nl Ihc li�Nl)'� � �� Y�"• � �Idn (:�nnnn �m. ,'
<br /> �o�s 131��1)pusihwun�iuirr.is nuniuimn�Inp�t rcyuuisnunl nl +.�/7 � ,���q. � �Nn i �m�inr�d,
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<br /> CanRVJpl�i�pulledoidluirm;;�rrLnn �nulncunicn.r•icr.iq��ilnn.���iniqlhua�b .r.r�:v�, i.�' y,.., i IN-�
<br /> IS IiN9)Iw I�rd nd�i Ili�t pm,pi'i p�C;ihnil and Ihinnh•,�'ir�v lu�ldru��il-� ��.1-Yi,., � �N�' i
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<br /> (�ircic Ih�� Ill4�l)i�rr���i uny;dwn r.�ivef(!indseipr tmsi)/Ii,�IH:�lu:ul I;rruinq��nvr; (�liivr �,i�il u �•J � �� ���.�. I� d� I� N�iuL�oi.li !
<br /> Vl�di��n!�ml ly utvni:i shuwn lht:lur.;d�uii q(Ihr.�ps ilh d 11'�';q l' I ,''',, , i
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