Information
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Unit Name and Number
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Conducted on
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Prepared by
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Unit Overview
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Number of Bedrooms/Bathrooms
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Television Service
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Box Information
Box
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Location of Box
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Model Information
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Location of Additional TVs Serviced by this Box
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Box Information
Box
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Location of Box
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Receiver Information
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Internet?
Entryway/Hallway
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Doors
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Walls
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Ceiling
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Lighting
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Floor Coverings
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Closet
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Other
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Description
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Work Order
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Work Order Number
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Work Description
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Good Condition?
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Room Overview Photos
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Comments
Bathroom
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Door
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- Fair
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Walls
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- Marked
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Ceiling
- Good
- Fair
- Poor
- Marked
- Damaged
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Lighting
- Good
- Fair
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- Marked
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Floor Coverings
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- Marked
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Countertops/Sink
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Toilet
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Bath/Shower
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Vanity
- Good
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- Poor
- N/A
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Towel Rack/Fixtures
- Good
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Hair Dryer
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Other
- Good
- Fair
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Work Order
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Room Overview Photos
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Comments
Kitchen
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Walls
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- Fair
- Poor
- Marked
- Damaged
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Ceiling
- Good
- Fair
- Poor
- Marked
- Damaged
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Lighting
- Good
- Fair
- Poor
- Marked
- Damaged
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Floor Coverings
- Good
- Fair
- Poor
- Marked
- Damaged
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Countertops/Sink
- Good
- Fair
- Poor
- Marked
- Damaged
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Cupboard
- Good
- Fair
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Appliances
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Other
- Good
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- Poor
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Work Order
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Room Overview Photos
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Comments
Living Room/Dining Room
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Walls
- Good
- Fair
- Poor
- Marked
- Damaged
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Ceiling
- Good
- Fair
- Poor
- Marked
- Damaged
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Lighting
- Good
- Fair
- Poor
- Marked
- Damaged
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Floor Coverings
- Good
- Fair
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- Marked
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Seating
- Good
- Fair
- Poor
- Marked
- Damaged
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Coffee Table
- Good
- Fair
- Poor
- Marked
- Damaged
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End Tables
- Good
- Fair
- Poor
- Marked
- Damaged
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Dining Table and Chairs
- Good
- Fair
- Poor
- Marked
- Damaged
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Fireplace
- Good
- Fair
- Poor
- Marked
- Damaged
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Mantel
- Good
- Fair
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- Marked
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TV/TV Stand
- Good
- Fair
- Poor
- Marked
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Murphy Bed
- Good
- Fair
- Poor
- N/A
- Marked
- Damaged
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Description
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Humidifier
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Other
- Good
- Fair
- Poor
- N/A
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- Damaged
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Description
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Work Order
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Date Found
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Work Order Number
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Work Description
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Good Condition?
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Room Overview Photos
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Comments
Property in General
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Work Orders Entered?
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Good Condition ?
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Inspector
