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Helps you use your brain more effectively. Stay healthier longer. Solve complex problems
BUILDING FITNESS CERTIFICATE CERTIFICATE
1. Inspector Name
: …………………………….
2. Bu B uilding Name
: …………………………….
3. Building Permit No
: …………………………….
4. Address
: ……………………………. …………………………….
5. Description / lassi!ication o! o! Bu Building
: ……… ………… ……………………. …….
". #$ner
: …………………………….
%. Perio Period d !or !or $&ic $&ic& & t&e t&e cert certi! i!ic icat atio ion n is is iss issued ued
: ………… ……………… ………… …………… ………..
'. Natu Nature re o! De! De!ec ects( ts( i! i! an) an) a. *oundations + Basement
: …………………………….
b. ,uperstructure
: …………………………….
c. Doors + -indo$s
: …………………………….
d. -ood $or
: …………………………….
e. oo!
: …………………………….
f. *looring
: …………………………….
g. 0iscellaneous rac( etc
: …………………………….
. An) 0ao 0aorr De!ects De!ects notice noticed d $&ic& $&ic& $ill $ill rende renderr t&e t&e uil uildi ding ng unsa unsa!e !e in an) an) manne mannerr
11.-&et&er t&e structure is sound or not !or #ccupanc)
: …………………………….
CERTIFICATE
It is certi!ied t&at t&e Building $as inspected ) me on ……………………. and !ound to e !it/ until !or occupanc)( !or t&e period o! ………………. *or t&e reasons stated ao7e.
