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ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITA
Date m , �,/!9 Time: In Out
Owner ''v' c C am, J 5 Tena—nt fll: � � 1`revVV Q
Address Inlce&A S�" J" Mf\� Address
Compliance Remarks or
Regulation# Yes NO Recommendations ¢
2. Kitchen Facilities
3. Bathroom Facilities i
4. Water Supply
5. Hot Water Facilities
6. Heating Facilities
7. Lighting and Electrical Facilities
8. Ventilation
9. Installation and Maintenance of Facilities
6
10. Curtailment of Service
11. Space and Use
12. Exits
13. Installation and Maintenance of Structural "� S �`1' � OLD
Elements ��- � `3�v✓v^�9/ � o
14. Insects and Rodent:>
15. Garbage and Rubbish Storage and Disposal
16. Sewage Disposal
17.Temporary Housing zi
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18. Driveway Width
19. Number of Tenants Observed
PART II
37. Placarding of Condemned Dwelling;
Removal of Occupants; Demolition
i
Number of Bedrooms Number of Vehicles Allowed (max)
Number of Persons Allowed (m ) rXrvC-
Person(s) Interviewed Inspecto
If Public Building such as Store or Hotel/Motel specify here
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