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: <br /> ?�/,1.��;; ;, ,� <br /> Lzvz,�c nrt��;;� <br /> In.pcction T��formatio:� for E�:cli linii: <br /> � �t � <br /> A �'�`1-Y��.---��-h.�--� �—_..—.---------------------- <br /> Adda•css <br /> �' t�.. c� ��L, <br /> I3 �j e�c�ic-,��y��t� _-�-____-- <br /> Basem'eni; - '"'-'- <br /> C <br /> 1,C Ploor^ ^'.—i_ . ---- <br /> n <br /> 2nd Floor --"_'-------- -- - — -- <br /> F. <br /> 3rd Floor .' _`--- ------- ----- <br /> zr-� . i�'��. �� y ���_,� � <br /> � �,l c«7% .. � �'//d L, /�7 <br /> ll - KI`PC:1�iV tS � -� �, <br /> �{ � <<. �; > - �T�<. �_ <br /> 1 � 2� __ A�Zr���_ • L�n- �Lr�� ,� � <br /> � 1 _c_f'_ cs-���1, �� <br /> �P'loor Chec � }�loor Area: Tyoe : Coti�cr'in�c Coiid. c�� <br /> 2 1�1e��,0 ��11-1 ` ,l�—r e �.;�� <br /> �4lalls Chec}; 'Pype of Construc't;ion: 4lall Covering <br /> � ._ l��'o (`� 4r,v fl..�__._ � <br /> I n Condition oi l�lall & �ovcri:lg ' <br /> 1`�>TI�C'l C�C1L.It�C,_ -� �� 7 C�CIe �r•N�, <br /> 3 .___�,��:_�_l-__—_._. -_–�=-______1 <br /> Ce11S.ng Checl; }.eight of Ce3,ling e: Cot:rlition '� <br /> 4 r� ^'____f�yy��=_`s:__,L'�G-�1�U�L. � � I ��C> C:�C Laf i _ T> Cr+�Lfrt�. <br /> 1lindoi�rs fa- Ventila�ion Chec}; type of Vent�tioiio Cond. ?c Size <br /> 5 _�____ <br /> C�bin^t,s C}�eclt No. of Cabinetsa Condit5.on �� <br /> 6 _:�Ls�i> c�:.��,�,�.,z, <br /> 81nk CondiL'ion: Ilot' & Cold i�later: Ylutnbin��+ <br /> 7 5� �; bL �{� csu,—s�_�- c _-F��r c�D,.�, i ,� <br /> Electri.cal Checlt for Utili.ty Circuit: i4o. Ou/t�l� ei/sT: <br /> - _ _ -7 [.`�,� l¢.T S 1 �_C.y,._,`•'c�f';cr•��.�( r'../''�'---�. <br /> g -- <br /> Ceil.ing livht:s: ,Jall Srrit;ches <br /> Gas Type of Pipir.�: Tyu� of Vents : Co:,d, of ;;quip. <br /> 9 _— ���,C� ii(_'r�L��� /1'r /u %c-C: .C, . L r7l:.ir5 <br /> Chimney Check Condltion of Chirr.ney, if any '-'-' <br /> 10 Cf�,olK,�>�/— �-�,.=- i o x':-c:�= <br /> Heating ' Chec}: Type of Heating in Roo!n' <br /> �- <br /> 1]. -----___-1J`--`�' �`�' <br /> OL'her Uses of t'�is Rooi7 Gencrnl Conditio.n ,� -' � <br /> l.2 I,'':;�� , , > - r r« � <br /> --------^`.--- �-L�----��-�Y���L�--1�--� f---------------- <br /> R�;n a i•'�... <br />