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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.

Secured to truss/rafter with a minimum of three (3) nails, and Attached to the wall top plate of the wall framing, or embedded in the bond beam, with less than a ½" gap from the blocking or truss/rafter and blocked no more than 1.5” of the truss/rafter, and free of …

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