INTERIOR CHECKLIST

DATE:                                                                 INSPECTOR #           

ADDRESS:                                                                       APT#             

YES	NO	(I1) Has landlord notified tenant?
YES	NO	(I2) Has tenant refused access?
BATHROOM			(I26) Ceiling not in good repair
(I3) Toilet not in working order			(I27) Floor not in good repair
(I4) Bathtub/shower not in good repair			(I28) Insects/Rats present
(I5) Water pressure not adequate			LIVINGROOM AND/OR DINING ROOM
(I6) Drains not functioning properly			(I29) Light fixtures not enclosed
(I7) 1 Elec. Light fixtures not in good repair			(I30) 2 Elec. Outlets not in good repair
(I8) 1 Outlet/Receptacle not in good repair			(I31) Or 1/1 Switch/Outlet not in good repair
(I9) Ventilation not adequate			(I32) Window(s) not in good repair
(I10) Window(s) not in good repair			(I33) Screens/storms not in good repair
(I11) Screens/storm windows not in good repair			(I34) Door(s) not in good repair
(I12) Doors not in good repair			(I35) Walls not in good repair
(I13) Walls not in good repair			(I36) Ceiling not in good repair
(I14) Ceiling not in good repair			(I37) Floor not in good repair
(I15) Floor not in good repair			SLEEPING ROOM (NORTH)
(I38) No G.F.I. Outlet(s)			(I100) Light fixtures not enclosed
KITCHEN			(I101) 2 Elec. Wall outlets not in good repair
(I16) Sink not in good repair			(I102) Or 1/1 Switch/outlet not in good repair
(I17) Drains not functioning properly			(I103) Window(s) not in good repair
(I18) Water pressure not adequate			(I104) Door(s) not in good repair
(I19) 1 Elec. Light fixtures not in good repair			(I105) Walls not in good repair
(I20) 1 Wall outlet/counter receptacles not in good repair?			(I106) Ceiling not in good repair
(I21) Ventilation not adequate			(I107) Floor not in good repair
(I22) Windows not in good repair			(I108) Illegal use of extension cords present
(I23) Screens/storm window(s) not in good repair			SEE ATTACHED SHEET FOR ADDITIONAL BEDROOMS
(I24) Door(s) not in good repair
(I25) Walls not in good repair
SLEEPING ROOM (SOUTH)			SLEEPING ROOM (EAST)
(I200) Light fixtures not enclosed			(I300) Light fixtures not enclosed
(I201) 2 Elec. Wall outlets not in good repair			(I301) 2 Elec. Wall outlets not in good repair
(I202) Or 1/1 Switch/outlet not in good repair			(I302) Or 1/1 Switch/outlet not in good repair
(I203) Window(s) not in good repair			(I303) Window(s) not in good repair
(I204) Door(s) not in good repair			(I304) Door(s) not in good repair
(I205) Walls not in good repair			(I305) Walls not in good repair
(I206) Ceiling not in good repair			(I306) Ceiling not in good repair
(I207) Floor not in good repair			(I307) Floor not in good repair
(I208) Illegal use of extension cords present			(I308) Illegal use of extension cords present
SLEEPING ROOM (WEST)			OTHER:
(I400) Light fixtures not enclosed			(I450) Other:
(I401) 2 Elec. Wall outlets not in good repair			(I451) Other:
(I402) Or 1/1 Switch/outlet not in good repair			(I452) Vacant unit follow up required.
(I403) Window(s) not in good repair			(I453) Door(s) not self-closing
(I404) Door(s) not in good repair			(I454) Smoke detectors not operable w/in 10 ft
(I405) Walls not in good repair
(I406) Ceiling not in good repair
(I407) Floor not in good repair
(I408) Illegal use of extension cords present

EXTERIOR CHECKLIST - INTERIOR CHECKLIST - RENTAL LICENSE PROPERTY INFO SHEET