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<br />e
<br />
<br />e
<br />
<br />BlJlLJHNG EVA!_lJATION CIIECI<LISI
<br />
<br />A = Adec)ua l B
<br />
<br />u= Uellclent
<br />
<br />J ,
<br />
<br />STnUCTU n A I"
<br />A. Foundation
<br />1, SInh
<br />2, Plea' &. Ream
<br />n. Foot.lngs
<br />b. SJIls
<br />c. Jolsls
<br />n , Wa 11 s
<br />1. Exlorloa'
<br />2. Intea"loa"
<br />C. &leans oe Egress
<br />.1. Oooa's
<br />a , J n l A a' loa"
<br />b, I~xterlor
<br />2, Poa'chs, steps.
<br />S l a J a' s
<br />3. Windows
<br />n. nooe
<br />1. naftea"R
<br />2. Ilecle, Shingles
<br />E. Ceilings
<br />1. .J 0 1st s
<br />2. Ceiling
<br />F. Flooa's
<br />G. Other
<br />
<br />N/A = Not ApplJcable
<br />
<br />_J._
<br />JiLL
<br />,..Nl.h.._
<br />-~~-
<br />
<br />___n___
<br />.._ J.t.__
<br />
<br />___U-
<br />.-1!_
<br />
<br />_lUL
<br />_!l_
<br />
<br />-_!!-
<br />___IL-
<br />D
<br />J)
<br />_..P.~
<br />N/A
<br />
<br />II. MECHANICAL SYSTEMS
<br />A. Electl'lcal
<br />1. ServJce Entrance
<br />&. Panel D
<br />2 . WI r I n g _p.._
<br />3 . L J g h t s. S wit c he s IL_
<br />4 . Ou tie t s _IL-
<br />6. I ot he r '_..N.LA_
<br />n. Plumbing
<br />1. FJxtures
<br />a. SJ nle _1L-
<br />b . I.a vat 0 r I e s ._~
<br />c. Water Closets....ll..-,
<br />d. Tub/Shower' D '
<br />e. Water lIeater ->>_
<br />2. Water PlpJng D
<br />3 . Dr a In. \\Ia s t e . ,
<br />& Vent D
<br />4. Sewer/Septic Tanle tli.L
<br />6. Gas System N/A
<br />C. lIeatlng &. AJr Conditioning
<br />1. Ilea tI ng D
<br />2. Air Condltlonln~ L
<br />
<br />.
<br />
<br />III. PROPERTY CONDITIONS
<br />1. Acces SOl' Y st r lIC t ur es lUA
<br />2. Cond I t Ion 0 f Gr ounds _..ll_
<br />3. Other N/A
<br />
<br />COMMENT/EXPLANATION
<br />
<br />.--...----------...----..---
<br />
<br />--...---------.-.-.--
<br />
<br />-..----.-----.-----..---
<br />
<br />.x !.!HL.U f! M.J\,m~ IL_ -.'.-.-' '.
<br />_.f.lmL,P..AMMJ~IL_.-___..- .
<br />
<br />__r~,.ln LLllA MA9E ll_.____._
<br />
<br />... .-- -...------...--..---
<br />
<br />-..------..-..----..----... ....-..- -.......
<br />
<br />_,E!1UL.!!AMA GJID _'_._'..
<br />J!g,~TRQ.m!LJII_E.1 IHL.
<br />j)EST.ROYEILJ,lJ'_F JRE
<br />DESTROYED DY FIRE
<br />_pE~InQXKQ_~X_EIRE
<br />WE1t,rJlERJAMi\QgIL.~
<br />
<br />IlAMAGED DY FIRE
<br />_YAMAGgILjrr_.E!1U~_
<br />-I!~,MAGED.J!.Lf..1 RE_
<br />_ DAMA9..EI!..J~.L.E.LIUL___
<br />
<br />_.1 NQeEI~f!,nt.jI__.____
<br />._..! NO,P.gRA,B~!L,..___,__.
<br />I NOPERAB~1L___
<br />-W.QPERAULI.!:_____
<br />j>AMAG,gD B.!... FinE _
<br />..J!AMAGED .Il Y F !lUL__
<br />
<br />"
<br />'. .'
<br />
<br />DAMAGED BY FIRE
<br />
<br />DEmOYED BY .E.!R!L
<br />DESTROYED DY FIRE
<br />
<br />UNiiOWifDGR"ASHRA sii
<br />
<br />COMMENTS: __,_._~OMM~NT~,..Q~LJ !fr.lUU..QJLJ.T.l!;M-~ .~flJLP.^~~P., Q.tL 'fI,m,....~,E;Y.\!;JH~,
<br />pEGRE1LQf.-E.Ull~..., JM,~Afilt-Y J,~,{ QJ,.~... f.,8Q,~...J1;XT~.Il1,m,1 =-....:.-...--,...,.-..----~-,~:.,.-.--....
<br />
<br />_..-----_.._-~..~-_..._..__..~._..__.......__....._._~-_.._....._. .',.. ._- _._..._~_.__. ._.~_....
<br />
<br />01-'92 Rev.
<br />
<br />'a:dangbldg.frm/dangerous building
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