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Aduit Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST
<br />Cod� Rekroncc:� :0121RC SecPon RJ25 (WAC 51�51�
<br />APPIICATtON NUIdBER`— ���i� �Q� 7
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<br />_ SECTIONS 1. Z. 1, AND 4 R1UST BE CO�dPLETED BV APPLICAYT Ii[�09E INSPECTIGN Y�I�� 0[ PROCESSEO
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<br />SERION 3— FLOOR PLAN
<br />On a separate sheet of paper (8
<br />floors) of your prospeckive AFH.
<br />indicating which bedroom is: A,
<br />�h x li) draw a floor plan (including all
<br />Include all sleeping rooms (bedrooms)
<br />B,CD,EandF.
<br />Label all components for exiting i.e., stairs, ramps, platforms, lifts and
<br />elevators.
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<br />r�on+r al th�s I��_,it��n I a9,r�• to hulA harmlCsS Idr i�,�r:di�hcn an�uct^:� s„ch msprCicns� nt rny rrGur;t, .; [o o�y oem
<br />(:ntlutlng [oslc, cru�'nsr;, and a:tomcys' Ires �ncunc0 �n thc �rvcsl�ya0on of sucn da�m), wh:[h maY hc m,v:n ,Ly any ppr,o��
<br />mduding the ��ocR�y�ca, aqe h!e0., g,�nst th �unsd�chon, but only wncre s�rth da�m anses out ol th� m'ax� ol !!�•
<br />���sa�[9on, inU Einp rt5� /0'J /YcS� S Cmploy ., upon Ihc accuraty o! Ihe inlnrmabov suOP��cA to thc Jur.aA�rno� as n p,rt r!
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<br />�PROPERNOWNEH �Aop��CANT QLICGNSCE
<br />EffcCt�ve. 2013 luly Ol
<br />Uadatcd :013 �tay
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