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. <br /> i <br /> -�y0c�y�,r�:..�`. <br /> RU01�1 � <br /> G - ��'t�J <br /> 1 _ � ,�� - ���,'���.,J��_��__ -- � - - - <br /> Floor.s State Size of itoo,n: Floor t�_ii:eri�l ?: Condt;. <br /> 2 �A3t��l i�_�u��--�C��:L�"CJ>- "j�--------------- <br /> 4:alls Fc Ceilin�; Type o '��1a].1 ;dater al: Coverin� Condltion: <br /> — -- `—�_C `Hel�hi; — ---- <br /> 3 .____� , •z it' � - , .� �� t C� q-p X S ' o .L�L � �.,��ti; <br /> 3 ��� r J��� , -- <br /> 411ndo��s & Veni:ilation � Checlt;�lindoz•�: Size ; CondiLion <br /> (� � r E ' � 2 cu:a,t,e2 r1'r, (=- �!�iS.i icv � _ <br /> --""—�`�L������ Che�clt Doors to C].osui& iiardtiia*•e <br /> Doors , <br /> 5 �?���u��"t _ ----- <br /> lleat � Check Typc of 13oom; i3eatin�: Conditiion <br /> � '3 w y.CC �_c�����-; _—�«C �=__��� _ — --- <br /> �lecL-rical Check type of l�liring: yo of Out,Jl`e�' ts : Ceili.n� <br /> �c�. �c: Ct»cti� i f �c.v ���;�:-� �`�_%7/rhieu <br /> 7 _-._.�/-`''i.GL�---1 ---- <br /> Rem�irlts General Condition: ii^.nl.th: I'ire : Ssfet;y <br /> �.':��Jal ��_)�U- � a�'��ra-� — <br /> }] _ I300Pi <br /> 1 � " � <br /> Floors 3taCe Size of Room: rloor I�fateri�l E; Condt. <br /> 2 _..��_ - <br /> 1�Ialls �, Cciling Type of ��la.11 ��Iat'eri�l: Covering Ccndition: <br /> — Helght � � <br /> 3 4Jindo�.vs & Vent;ilat;ion Check :�!indorrs : Sizo 3: Condition ~ � <br /> � Doors � Y Check Doors to Clusure & Hard�•:are J <br /> 5 }ieat Check Type of Room ileaLing: Condition � <br /> 6 ._ <br /> Llectrical Check �i'ype of lJlrin�: 1�0. of Outlets : C�ilin: <br /> 7 Remarks General Condicion: Nealth: Flre: Safety � <br />