Exhibit C – Inspection Form Date of Use: Date of Inspection: Applicant: Areas of Inspection & Schedule of Fees Alarm set and exterior doors secured - $100 YesNo Trash bagged and removed from premises - $50 YesNo Floors mopped (bathrooms, hallway) - $20 YesNo Meeting room and foyer vacuumed - $20 YesNo Counters, cabinets and appliances cleaned - $20 YesNo Bathrooms clean (trash removed, counters wiped down) - $20 YesNo Furniture clean/ undamaged (wipe down tables and chairs used) - $20 YesNo Snacks, drinks and disposable plates unused YesNo Cost of Used drinks, and disposable plates Porch clean (swept free of debris) - $20 YesNo Chairs stacked and stored (unless otherwise informed) - $20 YesNo Windows secured - $10 YesNo Blinds/Curtains lowered or closed - $10 YesNo Walls and doors cleaned of dirt and food with a wet cloth - $10 YesNo Fans and lights off - $20 YesNo Late removal from premises - $50 YesNo Comments: