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; �� � <br /> � DEHOLITZOK CHECKLIST <br /> ADDRESS _ I��3 W• FoR�T <br /> � Date Lf-��-�5 <br /> oWrrER �,�p . <br /> _� Opea sitndows . <br /> _✓ open/unsecured doors, (accessible to ehildren, <br /> • aaimals, eLc. ) . . <br /> �,_✓ Broken xindows {Zaqg� qiass r�ma�s) <br /> em <br /> ._..� � i�secured opentnqs that p��it water • <br /> iaterior causin � �ater <br /> dama • . <br /> 4 ge to, ce <br /> �rnlls __ ilinqs, <br /> ____ , floora, �I�c. wi�q, <br /> draina e�at - <br /> Q o sani <br /> t�ry sewer oth <br /> , er <br /> . _ <br /> � _✓ Structure open durinq �rinter . . ' <br /> • ._�` � Water ir plwnbing systems iacluding traps II� <br /> probably not drained or treated with anti- � . � <br /> freeze through winter causiag damaqe. ', <br /> _ ,_✓ Foundatioa deteriorated � I <br /> _ • _� Porch and porch steps deterierated � . � � �', <br /> • � Water service disconnected I� <br /> __ <br /> Date _ �S_i a-1y � . I <br /> . i� . Exterior deteriorated I <br /> , _,� . Gas meter Iocked in "0�» position �. <br /> __ Gas meter removed <br /> _.__ ElecLric meter removed � � <br />. �� One main buildiag . � <br /> � ' .._._✓ �rnace questionable <br /> � vacsnc_� date � <br /> . ._�' Accessory Strsct�sre/s f indicate number! <br /> :.DDI�rTONAL COHHE.IZ'S �(�*1 d Ad'PRR�i1�� A'�RnlOonlsl� <br /> � n/E l 6l�(;oRS Co mP�A�n� OF U�k�t1u►�1 P�� ��{i�N .+T <br /> tG � <br /> =::hi'�=� - . <br /> .1 <br />