| Property Name (if applicable) |
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| Property Address |
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| Property City, State, Zip |
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| Property Phone |
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| Property Fax |
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| Property Contact Name |
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| Property Contact E-Mail |
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| Owner/Representative Name |
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| Owner/Representative Street |
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| Owner/Representative City, State, Zip |
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| Owner/Representative Phone |
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| Owner/Representative Fax |
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| How many stories is the building? |
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| Total number of units |
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| Total number of buildings |
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| Type of water pipe |
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| Is there parking under the building? |
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| If "Yes" what, if any plumbing fixtures are in the parking
area? |
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| What year was the building built? |
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| Does the piping run under the concrete slab of the building?
(if known) |
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| Is there a water softener? |
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| Is there a swimming pool? |
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| Is there a solar water heating system? |
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| Are there fire sprinklers or fire hose cabinets? |
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| Is there a common water heating system for more than (1)
unit? |
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| If "Yes", how many boilers/water heaters? |
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Please Read: |
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| A 1-bathroom is considered (1) toilet, (1) bathroom
sink, and (1) tub, shower, or tub/shower combination, and
(1) kitchen sink.
A 1 1/2-bathroom unit would be considered: (2) toilets,
(2) bathroom sinks, and (1) tub, shower or tub/shower combination,
and (1) kitchen sink.
A 2-bathroom unit would be considered: (2) toilets,
(2) bathroom sinks, and (2) tubs, showers or tub/shower
combinations, and (1) kitchen sink.
A 2 1/2-bathroom unit would be considered: (3) toilets,
(3) bathroom sinks, and (2) tubs, showers, or tub/shower
combinations, and (1) kitchen sink.
A 3-bathroom unit would be considered: (3) toilets,
(3) bathroom sinks, and (3) tubs, showers, or tub/shower
combinations, and (1) kitchen sink.
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| Number of 1-bathroom units |
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| Number of 1 1/2-bathroom units |
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| Number of 2-bathroom units |
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| Number of 2 1/2-bathroom units |
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| Number of 3-bathroom units |
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| Do any of these units have more than (1) bathroom sink in
any (1) bathroom? |
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| If "Yes", how many total bathrooms have more than (1) sink?
Include the entire property. |
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| How many units have the following? |
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| Jacuzzi or whirlpool tub |
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| Steam/Sauna Room |
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| Bidet |
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| Bar/extra sink (not in bathroom) |
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| Washing machine |
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| Laundry sink |
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| Ice maker water outlet (even if not used) |
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| Garden hose connections |
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| Water heater |
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| Recreation Areas/Laundry Rooms/Common Areas |
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| Provide quantities of any fixtures outside of living units |
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| Toilets |
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| Bathroom sinks |
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| Tub (Tub/Shower) |
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| Shower only |
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| Jacuzzi or whirlpool tub |
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| Steam/Sauna Room |
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| Bidet |
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| Kitchen sink |
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| Bar/Extra sink |
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| Washing machine |
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| Laundry sink |
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| Ice maker water outlet (even if not used) |
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| Garden hose connections |
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| Water heater |
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| How did you hear about us? |
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| ABC 7 News |
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| TV commercial |
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| KCAL 9 News |
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| Orange County Living Magazine |
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| Orange County Register Home/Garden Section |
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| Signal Newspaper |
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| Sports Reporter |
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| Theater-Ad |
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| Home Mailer with CD |
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| Friend/Referral |
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| Browsing the Internet |
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| Home flyer |
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| Our trucks |
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| Our PT Cruiser |
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| Other |
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| Comments: |
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