Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Foundation
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Foundation: Cracked walls issues? If 'Yes' then enter description below with photo(s).
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If Yes enter: Code=code/safety violation, 1=nearly failed/failed replace yr1, 2=nearly failed, replace yr2 or yr3, 3=good/fair condition (50% remaining life), 4=very good condition (>75% remaining life), 5=new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Foundation: Settlement issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Foundation: Deterioration issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Foundation: Drainage issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
Basement Construction
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Floor Slab issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Wall Condition issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Wall Settlement issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Water Intrusion issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
Superstructure
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Floor Structure issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Roof Structure issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
Exterior Enclosure
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Exterior Wall Condition issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Exterior Wall Caulking issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Exterior Wall Cleaning & Pointing issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Exterior Wall Painting issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Exterior Wall Window issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Exterior Door condition issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Exterior Hardware issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
Roofing
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Roofing issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Parapet issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Flashing issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Drainage issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
Interior Construction
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Ceiling issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Interior Wall/Partition issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Interior Door issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Interior Hardware issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
Stairs
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Stair Construction issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Stair Finish issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Stair Handrail issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
Conveying Systems
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Elevator Condition issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Escalator Condition issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
Plumbing System
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Plumbing Fixture issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Domestic Water Distribution issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Back Flow Preventer issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Sanitary Waste System issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Storm Water Drainage issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
-
Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
-
Enter opinion of probable cost
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Other Plumbing Systems issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
-
Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
-
Enter opinion of probable cost
HVAC Systems
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Fuel Energy Supply System issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
-
Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
-
Enter opinion of probable cost
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Heat Generation System issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
-
Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
-
Enter opinion of probable cost
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Heat Rejection/Cooling Tower System issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
-
Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
-
Enter opinion of probable cost
-
HVAC Distribution System issues? If 'Yes' then enter description below with photo(s)
-
If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
-
Enter opinion of probable cost
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Terminal & Package Unit issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
-
Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
-
Enter opinion of probable cost
-
HVAC Instrumentation & Controls issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
-
Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
-
Enter opinion of probable cost
-
HVAC System TAB issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
-
Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
-
Enter opinion of probable cost
-
Other Special HVAC Systems/Equipment issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
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Enter funds year
- Code
- yr1
- yr2
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- yr5
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Enter opinion of probable cost
Fire Protection Systems
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Sprinkler System issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Standpipe issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Fire Pump issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Other Fire Protection System issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
Electrical Systems
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Electrical System Capacity issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Electrical Service & Distribution issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Branch Wiring issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Lighting System issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Special Electrical System issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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EMS/Controls System issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Exit/Emergency Lighting system issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Other Electrical System issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
Site Conditions
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Building Access issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Sidewalks & Steps issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Exterior Lighting issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Drainage issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost
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Utilities & Services issues? If 'Yes' then enter description below with photo(s)
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If Yes then code as follows: Code=code/safety violation, 1=Item nearly failed/failed to be replaced in year 1, 2=Item has nearly failed to be replaced in year 2 or 3, 3=Item is in good to fair condition (50% remaining life), 4=Item is in very good condition (>75% remaining life), 5=Item is new or like new (>90% remaining life)
- Code
- 1
- 2
- 3
- 4
- 5
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Enter funds year
- Code
- yr1
- yr2
- yr3
- yr4
- yr5
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Enter opinion of probable cost