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Uniform Mitigation Verification Inspection Form Maintain a ...

Uniform Mitigation Verification Inspection Form Maintain a copy of this form and any documentation provided with the insurance policy Inspectors Initials _____ Property Address_____ *This Verification form is valid for up to five (5) years provided no material changes have been made to the structure. OIR-B1-1802 (Rev. 01/12) Adopted by Rule Page 1 of 4 Inspection Date: Owner Information Owner Name: Contact Person: Address: Home Phone: City: Zip: Work Phone: County.

A. Hip Roof Hip roof with no other roof shapes greater than 10% of the total roof system perimeter. Total length of non-hip features: _____ feet; Total roof system perimeter: _____ feet B. Flat Roof Roof on a building with 5 or more units wher e at least 90% of the main roof area has a roof slope of less than 2:12.

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