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Address: Page 3 of 3 <br /> Complies <br /> Housing Maintenance Item: With Standards? Comments Concerning Item Number. <br /> Yes No <br /> Bedrooms: <br /> 49. Walls,ceilings,floors,windows <br /> 50. Electrical outlets,wiring,futures <br /> 51. Heat source <br /> Additional Requirements: <br /> 52 Smoke alarms <br /> 53. Swimming pools,whirlpools,hot tubs <br /> 54. Legal occupancy and use <br /> 55. Water well abandonment <br /> 56. Other <br /> If a residential structure violates any provision of the St.Louis Park Housing Code,a Certificate of Housing Maintenance Compliance will not be issued The owner <br /> may seek approval to use a Statement of Intent to Comply-accompanied by an escrow of money—if one or more items on the work order cannot be completed and <br /> the homeowner meets the hardship requirements of(Sty Ordinance. For more information,discuss this with the housing inspector or call the Inspections <br /> Department of the City of St.Louis Park at 924-2588. If the inspected structure does not meet the provisions of the St.Louis Park Housing Code,the items on the <br /> work order are required to be completed whether or not a Certificate of Housing Maintenance Compliance is issued <br /> I hereby certify that this report is made in compliance with the St.Louis Park Housing Code and that I utilized care and diligence,reasonable and ordinary,in <br /> conducting this inspection. Ibis report covers only thou problems listed and reasonably visible at the time of my evaluation.and does not warrant future useful life <br /> of any house component or future. <br /> Signature of housing inspector Inspector's phone number Date <br /> Housing Inspector's Name (PRINT NAME) A reinspection is required not required. <br /> To Schedule A Reinspection <br /> Once all corrections have been completed, call the St. Louis Park <br /> Inspections Department at 924-2588 to schedule a reinspection appointment. <br /> Housing Inspector. Date of Compliance: <br /> Fonm/Housein-Form Issue Date: 12-1992 <br />