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Definitions NOTE: All definitions listed below refer to the property or item listed as inspected on this report at the time of inspection A Acceptable Functional with no obvious signs of defect. NP Not Present Item not present or not found. NI Not Inspected Item was unable to be inspected for safety reasons or due to lack of power, inaccessible, or disconnected at time of inspection. M Marginal Item is not fully functional and requires repair or servicing. D Defective Item needs immediate repair or replacement. It is unable to perform its intended function. General Information Property Information Property Address City State Zip Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name Your Company Name Here Address 123 Somewhere Street City Somewhere State US Zip 12345 Phone 123-456-7890 Fax 9 E-Mail [email protected] Conditions Others Present Property Occupied Estimated Age Entrance Faces Inspection Date 03/03/2014 Electric On Yes No Not Applicable Gas/Oil On Yes No Not Applicable Water On Yes No Not Applicable Space Below Grade Building Type Garage Sewage Disposal How Verified Water Source How Verified Your Company Name Here 13:22 March 03, 2014 Page 1 of 44 Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

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Page 1: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

DefinitionsNOTE: All definitions listed below refer to the property or item listed as inspected on this report at the time of inspection

A Acceptable Functional with no obvious signs of defect. NP Not Present Item not present or not found. NI Not Inspected Item was unable to be inspected for safety reasons or due to lack of power, inaccessible, or disconnected at

time of inspection. M Marginal Item is not fully functional and requires repair or servicing. D Defective Item needs immediate repair or replacement. It is unable to perform its intended function.

General Information

Property Information

Property Address City State Zip Contact Name Phone Fax

Client Information

Client Name Client Address City State Zip Phone Fax

Inspection Company

Inspector Name John Inspector Company Name Your Company Name Here Address 123 Somewhere Street City Somewhere State US Zip 12345 Phone 123-456-7890 Fax 9 E-Mail [email protected]

Conditions

Others Present Property Occupied Estimated Age Entrance Faces Inspection Date 03/03/2014 Electric On Yes No Not Applicable Gas/Oil On Yes No Not Applicable Water On Yes No Not Applicable Space Below Grade Building Type Garage Sewage Disposal How Verified Water Source How Verified

Your Company Name Here13:22 March 03, 2014 Page 1 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 2: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Lots and GroundsA NP NI M D

1. Walkways: 2. Walkway Drainage: 3. Steps/Stairs: 4. Vegetation: 5. Retaining Walls: 6. Grading: 7. Driveway: 8. Fences: 9. Lawn Sprinklers:

10. Parking Lot: 11. Parking Lot Lighting: 12. Parking Lot Drainage: 13. Access ADA Compliant: Yes No

ExteriorA NP NI M D

Exterior Surface 1. Type: 2. Main Entry: 3. Main Entry Access ADA Compliant: Yes No 4. Secondary/Other Entry: 5. Secondary/Other Entry Access ADA Compliant: Yes No 6. Rear Entry: 7. Trim: 8. Fascia: 9. Soffits:

10. Patio Door: 11. Windows: 12. Exterior Lighting: 13. Exterior Electric Outlets: 14. Canopy: 15. Type: 16. Roof: 17. Structure:

Your Company Name Here13:22 March 03, 2014 Page 2 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 3: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

StructureA NP NI M D

1. Structure Type: 2. Foundation: 3. Differential Movement: 4. Beams: 5. Bearing Walls: 6. Joists/Trusses: 7. Piers/Posts: 8. Floor/Slab: 9. Stairs/Handrails:

10. Subfloor: 11. Emergency lighting present? Yes No

RoofA NP NI M D

Roof Surface 1. Method of Inspection: 2. Unable to Inspect: 3. Material: 4. Type: 5. Approximate Age: 6. Flashing: 7. Valleys: 8. Skylights: 9. Plumbing Vents:

10. Electrical Mast: 11. Roof Drains: 12. Gutters: 13. Downspouts: 14. Leader/Extension: Chimney 15. Chimney: 16. Flue/Flue Cap: 17. Chimney Flashing:

Your Company Name Here13:22 March 03, 2014 Page 3 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 4: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

ElectricalA NP NI M D

1. Service Size Amps: Volts: 2. Service: 3. 120 VAC Branch Circuits: 4. 240 VAC Branch Circuits: 5. Aluminum Wiring: 6. Conductor Type: 7. Ground:

Electric Panel 8. Manufacturer: 9. Maximum Capacity:

10. Main Breaker Size: 11. Breakers: 12. Fuses: 13. AFCI: 14. GFCI: 15. Is the panel bonded? Yes No 16. Smoke Detectors: 17. Data/Security Systems: 18. Emergency Lighting:

PlumbingA NP NI M D

1. Service Line: 2. Main Water Shutoff: 3. Water Lines: 4. Drain Pipes: 5. Service Caps: 6. Vent Pipes: 7. Gas Service Lines:

Water Heater 8. Water Heater Operation: 9. Manufacturer:

10. Type: Capacity: 11. Approximate Age: Area Served: 12. Flue Pipe: 13. TPRV and Drain Tube:

Your Company Name Here13:22 March 03, 2014 Page 4 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 5: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Air ConditioningA NP NI M D

AC System 1. A/C System Operation: 2. Condensate Removal: 3. Exterior Unit: 4. Manufacturer: 5. Area Served: Approximate Age: 6. Fuel Type: Temperature Differential: 7. Type: Capacity: 8. Visible Coil: 9. Refrigerant Lines:

10. Electrical Disconnect: 11. Exposed Ductwork: 12. Blower Fan/Filters: 13. Thermostats:

Heating SystemA NP NI M D

Heating System 1. Heating System Operation: 2. Manufacturer: 3. Type: Capacity: 4. Area Served: Approximate Age: 5. Fuel Type: 6. Heat Exchanger: 7. Blower Fan/Filter: 8. Distribution: 9. Circulator:

10. Draft Control: 11. Flue Pipe: 12. Controls: 13. Devices: 14. Humidifier: 15. Thermostats:

Your Company Name Here13:22 March 03, 2014 Page 5 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 6: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Laundry Room/AreaA NP NI M D

Laundry Room/Area 1. Closet: 2. Ceiling: 3. Walls: 4. Floor: 5. Doors: 6. Windows: 7. Electrical: 8. HVAC Source: 9. Laundry Tub:

10. Laundry Tub Drain: 11. Washer Hose Bib: 12. Washer and Dryer Electrical: 13. Dryer Vent: 14. Dryer Gas Line: 15. Washer Drain: 16. Floor Drain:

StairwellsA NP NI M D

Stairwell 1. Handrails: 2. Steps: 3. Emergency Lights: 4. Door Closures: 5. Windows: 6. Doors: 7. Walls: 8. Floors: 9. Ceilings:

10. Electrical: 11. Exit Signage:

Your Company Name Here13:22 March 03, 2014 Page 6 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 7: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Common AreasA NP NI M D

Common Area 1. Walls: 2. Floor: 3. Ceiling: 4. Electrical: 5. Doors: 6. Windows: 7. HVAC Source: 8. Exit Signage:

Unit #1

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor: 7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures:

Your Company Name Here13:22 March 03, 2014 Page 7 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 8: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #1 (Continued)22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors: 28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat: 34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls: 37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin: 43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source: 49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Your Company Name Here13:22 March 03, 2014 Page 8 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 9: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #1 (Continued)Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Unit #2

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor: 7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures: 22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors:

Your Company Name Here13:22 March 03, 2014 Page 9 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 10: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #2 (Continued)28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat: 34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls: 37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin: 43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source: 49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Your Company Name Here13:22 March 03, 2014 Page 10 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 11: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #3

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor: 7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures: 22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors: 28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat:

Your Company Name Here13:22 March 03, 2014 Page 11 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 12: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #3 (Continued)34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls: 37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin: 43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source: 49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Unit #4

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Your Company Name Here13:22 March 03, 2014 Page 12 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 13: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #4 (Continued)Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor: 7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures: 22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors: 28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat: 34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls:

Your Company Name Here13:22 March 03, 2014 Page 13 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 14: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #4 (Continued)37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin: 43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source: 49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Unit #5

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor:

Your Company Name Here13:22 March 03, 2014 Page 14 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 15: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #5 (Continued)7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures: 22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors: 28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat: 34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls: 37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin:

Your Company Name Here13:22 March 03, 2014 Page 15 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 16: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #5 (Continued)43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source: 49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Unit #6

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor: 7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Your Company Name Here13:22 March 03, 2014 Page 16 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 17: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #6 (Continued) Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures: 22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors: 28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat: 34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls: 37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin: 43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source:

Your Company Name Here13:22 March 03, 2014 Page 17 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 18: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #6 (Continued)49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Unit #7

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor: 7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No

Your Company Name Here13:22 March 03, 2014 Page 18 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 19: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #7 (Continued)16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures: 22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors: 28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat: 34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls: 37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin: 43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source: 49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling:

Your Company Name Here13:22 March 03, 2014 Page 19 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 20: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #7 (Continued)52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Unit #8

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor: 7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures:

Your Company Name Here13:22 March 03, 2014 Page 20 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 21: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #8 (Continued)22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors: 28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat: 34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls: 37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin: 43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source: 49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Your Company Name Here13:22 March 03, 2014 Page 21 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 22: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #8 (Continued)Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Unit #9

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor: 7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures: 22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors:

Your Company Name Here13:22 March 03, 2014 Page 22 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 23: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #9 (Continued)28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat: 34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls: 37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin: 43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source: 49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Your Company Name Here13:22 March 03, 2014 Page 23 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 24: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #10

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor: 7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures: 22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors: 28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat:

Your Company Name Here13:22 March 03, 2014 Page 24 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 25: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #10 (Continued)34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls: 37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin: 43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source: 49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Unit #11

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Your Company Name Here13:22 March 03, 2014 Page 25 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

Page 26: Your Company Name Here...Contact Name Phone Fax Client Information Client Name Client Address City State Zip Phone Fax Inspection Company Inspector Name John Inspector Company Name

Unit #11 (Continued)Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor: 7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures: 22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors: 28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat: 34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls:

Your Company Name Here13:22 March 03, 2014 Page 26 of 44

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Unit #11 (Continued)37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin: 43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source: 49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Unit #12

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor:

Your Company Name Here13:22 March 03, 2014 Page 27 of 44

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Unit #12 (Continued)7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures: 22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors: 28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat: 34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls: 37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin:

Your Company Name Here13:22 March 03, 2014 Page 28 of 44

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Unit #12 (Continued)43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source: 49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Unit #13

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor: 7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Your Company Name Here13:22 March 03, 2014 Page 29 of 44

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Unit #13 (Continued) Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures: 22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors: 28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat: 34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls: 37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin: 43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source:

Your Company Name Here13:22 March 03, 2014 Page 30 of 44

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Unit #13 (Continued)49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Unit #14

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor: 7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No

Your Company Name Here13:22 March 03, 2014 Page 31 of 44

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Unit #14 (Continued)16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures: 22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors: 28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat: 34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls: 37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin: 43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source: 49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling:

Your Company Name Here13:22 March 03, 2014 Page 32 of 44

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Unit #14 (Continued)52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Unit #15

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor: 7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures:

Your Company Name Here13:22 March 03, 2014 Page 33 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

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Unit #15 (Continued)22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors: 28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat: 34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls: 37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin: 43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source: 49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Your Company Name Here13:22 March 03, 2014 Page 34 of 44

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Unit #15 (Continued)Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Unit #16

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor: 7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures: 22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors:

Your Company Name Here13:22 March 03, 2014 Page 35 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

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Unit #16 (Continued)28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat: 34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls: 37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin: 43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source: 49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Your Company Name Here13:22 March 03, 2014 Page 36 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

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Unit #17

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor: 7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures: 22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors: 28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat:

Your Company Name Here13:22 March 03, 2014 Page 37 of 44

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Unit #17 (Continued)34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls: 37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin: 43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source: 49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Unit #18

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Your Company Name Here13:22 March 03, 2014 Page 38 of 44

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Unit #18 (Continued)Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor: 7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures: 22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors: 28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat: 34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls:

Your Company Name Here13:22 March 03, 2014 Page 39 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

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Unit #18 (Continued)37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin: 43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source: 49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Unit #19

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor:

Your Company Name Here13:22 March 03, 2014 Page 40 of 44

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Unit #19 (Continued)7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures: 22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors: 28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat: 34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls: 37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin:

Your Company Name Here13:22 March 03, 2014 Page 41 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

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Unit #19 (Continued)43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source: 49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Unit #20

1. Unit #: Unit Type: 2. Occupied Vacant

A NP NI M D

Interior Rooms

Living Space 3. Closet: 4. Ceiling: 5. Walls: 6. Floor: 7. Doors: 8. Windows: 9. Electrical:

10. HVAC Source:

Kitchen

Your Company Name Here13:22 March 03, 2014 Page 42 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

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Unit #20 (Continued) Kitchen 11. Cooking Appliances: 12. Ventilator: 13. Disposal: 14. Dishwasher: 15. Air Gap Present? Yes No 16. Trash Compactor: 17. Refrigerator: 18. Microwave: 19. Sink: 20. Electrical: 21. Plumbing/Fixtures: 22. Counter Tops: 23. Cabinets: 24. Ceiling: 25. Walls: 26. Floor: 27. Doors: 28. Windows: 29. HVAC Source:

Hallways

30. Ceiling: 31. Closet: 32. Floor: 33. Thermostat: 34. Walls:

Bathrooms

Bathroom 35. Ceiling: 36. Walls: 37. Floor: 38. Doors: 39. Windows: 40. Electrical: 41. Counter/Cabinet: 42. Sink/Basin: 43. Faucets/Traps: 44. Tub/Surround: 45. Shower/Surround: 46. Spa Tub/Surround: 47. Toilets: 48. HVAC Source:

Your Company Name Here13:22 March 03, 2014 Page 43 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.

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Unit #20 (Continued)49. Ventilation:

Bedrooms

Bedroom 50. Closet: 51. Ceiling: 52. Walls: 53. Floor: 54. Doors: 55. Windows: 56. Electrical: 57. HVAC Source:

Balcony

58. Balcony Floors: 59. Balcony Ceilings: 60. Balcony Walls: 61. Balcony Electrical & Safety Railings:

Your Company Name Here13:22 March 03, 2014 Page 44 of 44

Palm-Tech Inspector, Copyright © 1998-2014, PDmB, Inc.