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i <br /> � <br /> HC]H <br /> ��� i <br /> �3 I <br /> ryy ' <br /> +�4 r- <br /> K O I <br /> y � ACUSZNG 6 Sri12inRY CODE I::SPECTIOtt sOR2�1 �� <br /> '�Hh�1 <br /> ��� Property Address : i <br /> o�d Name oS Ocrner: � lel. i{o. : �8' - �j�� � <br /> ��g Address of C'nar: <br /> I <br /> 7E M <br /> � y Type of �,;elling: S ` /1 l;unber o: liaita: o-„u i <br /> yy <br /> g�y :�,Tpe of Structure: WooD /,f,qMr' I�umber of Sto:ies: �_ I <br /> With/uithout Porcnes: WirN Fire Escapes? i1/o <br />, ��� <br /> T�pe oS Othar Structu.e on P:opertye <br /> Unit Location: Occupant's i7ane: � <br /> I <br /> No. of Occupants: ��_ i7o. of Sleeping Rooms: /�_ <br /> REC, . =� AREA kI7D I^_�4 YES 270 <br /> BAT:-�0023 ptv ,� �� <br /> Is toilet in r±aod cro.^icin^ o^der7 <br /> 1 Is wash basin available? I I ' <br /> Is 6athtuo/snouer ia ood reoair? I I <br /> '�1 I Is water 7_^993ll:9 adeauate? I I <br /> iem�era�n:e of :iot L�ate: Adecuate7l I <br /> ��' ( Nre d:ains fur:ctionin^ n;ooariv? I <br /> Is there at loast one electrical lightir.g <br /> ��1 fixtu:e in �ood renair7 r/ <br /> Is thero at least one elect:ical wall <br /> ��' I outlet in qood reoair? I I I � <br /> '�' I Ta�e of' Ventllation Adeouato? I I i <br /> f Are windous in �ood reaair? lieathortiaht I � I � <br /> � ' Are the screens/storn H111dOH9 in <br /> � <br /> ¢ood reDair? - � <br /> :,re the doors in v.00d reoair? ✓ <br />' '�1 Are the ualls in ood renair? I ✓ ; <br /> � Are the walls i�varvious to Nater? <br /> Is the coilin¢ in �ood reoair7 ' <br />, � Is the floor in ¢ood re�air7 � ✓ I � <br />, �' Is the floor im�ervious to uater? <br />' � Are the facillties and room keot clean7 ' � � <br /> '�' Comments: OLD TQ6� �C4M�lN6 A �OGO 0/y FOR SNouiR � �yp/AiN4 iI <br /> FxFOSd � 7 LS NeT uCaOSCD C/R sNe waa H.sr F�eoq �S wE7 l�R�wNtl AND vN0�5P � <br /> a e e � <br /> 1j 13 ' � <br /> � KITCFT.zI21 ' ''' <br /> Is the sink of suTSicient size and � � �I <br /> caoncit- ? i/ " <br /> Is the sink in -ood raDair2 <br /> Is water nressure adeauate? � <br /> � Hot water ton�erature Adeauate? <br /> _ Are drains functionin vrooarlv? � <br /> Is wnshin¢ nachine oronarlv installed? <br />' � �', <br />