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�E�QLITION CHECxLIST <br /> �DDR£SS f QZ f �(f • �nl G- Date ��vZ7- �'jq <br /> OWNER �Se n� a.�� ,�u'f?i S�x al��-/' <br /> _� �nen Windows <br /> _� Onen/unsecured doors , ( ac��ssible to children, <br /> animals; etc . ) <br /> �C Broken windows tiagged glass r�mains ? <br /> __� Unsecured openings that germi� water to ent�r <br /> interior causing damage to; �c�ilings , <br /> ���valls , �c floors , el�c . wiring, <br /> drainage into sani�arv sek=er, other <br /> �,_ Struct�sre open during :eint�r <br /> � 'aater & glttmbing s,�st��s ir.cl��zd�r.g tra�s <br /> �robably �ct drained or }�eate� �frit:^, anti- <br /> freeze thraugh ��vinter caus�ny dama�e . <br /> � ?L�indation deteriorat�� <br /> � �orch an3 p�rch st�ps d�*�-ior3ted <br /> water servi�e discor.nect?d ' <br /> Date _ -�-�/- �'� <br /> �_ �xter��r det�r�.or3ted <br /> _� sas meter ?�cked ir ��C�F" �os=.tion <br /> Gas meter r�mcved <br /> _� Electric meter r�mcved <br /> �_ one main tuii.ding <br /> � ^urnace questionable <br /> � ^ � <br /> vacsnc,� dat� �Jo,�e �� <br /> � Accessory Str:�ctur�/s 1 indlcate nu:�ber,'. <br /> ADDITIQrI�L CGMMEr1'^S f�5 ,�eG� sc�,vrt� 6., G��f�, <br /> � <br /> .::h�r_t ., <br />