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CITY OF MOUNDS VIEW, MINNESOTA ( 784-3055 ) <br /> CHAPTER 93 <br /> MINIMUM HOUSING STANDARD FOR DWELLINGS AND MULTIPLE DWELLINGS <br /> ,Requested by : Tenant Manager 4M101 ' <br /> Type Housing: Manufactured Home Sin le Family Duplex/2F <br /> Apartment Bldg. r lex <br /> Name of Bldg. Owner SLLife,./...... <br /> Address -7(.,) (� �d crc! (�;' Address -12O( - 11_x{ ri l�,rt <br /> Tenant Apt. # i&)- City f Zip <br /> P=Pass 1 2 3 4 5 6 7 <br /> F=Fix KITCHEN LIVING HALL BATH- BED- BED- OTHER <br /> R=Reinspection ROOM ROOM ROOM ROOM <br /> PFR PFR PFR PFR PFR PFR PFR <br /> A. Electrical <br /> B. Security <br /> C. Window <br /> D. Ceiling <br /> E. Wall <br /> .V <br /> F. Floor <br /> G. Stove/Range/Oven <br /> H. Refrigerator <br /> I . Sink/Wash Basin <br /> J . Food Storage/Preparation <br /> K. Flush Toilet <br /> L. Tub/Shower <br /> M. Ventilation <br /> HEALTH & SAFETY XPLANATION OF FIX RATING• <br /> AA. Stairs & Porches ( ) N/A �.- Cr,, V,,s i <br /> BB. Smoke Detector ,rr <br /> CC. Fire Extinguisher ( ) N/A <br /> DD. Heating/Air Conditioner <br /> Such mailed , posted and published <br /> notice shall give the alledged <br /> violator thirty ( 30 ) days or less <br /> to correct. <br /> Inspection Date " --C? f Inspector 1) 9 <br /> Reinspection Required: S NO ✓� <br /> Date bk,9i� '_ ,LANA aAl <br /> Pass Date Inspector <br /> UNIT FORM CITY COPY-White OWNERCOPY-Yellow <br />