EP 1110-1-28
31 Aug 01
Plaster walls or ceilings deteriorated
Two or more windows or doors broken, missing,
or boarded up
Foundation has major cracks, missing material,
structure leans, or visibly unsound
Other (specify)
Other (specify)
*Total Number
Risk Assessor Signature and Certification Number
Date
Figure
B-1:
Building/Housing
Unit
Condition
Form
B-10
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