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2801 Youngfleld St., Suite 171 <br />Matheson Golden, CO 80401 <br />303 -456 »5638 <br />Mining Toll Free <br />Fax 303 - 456 -5638 <br />Earmul'tants* Inc. www.mathesonmining.com <br />CONDITION INSPECTION <br />CLIENT: .5j ? , ele,44 �Q <br />INSPECTOR: o4r 1 -r0A1 JOB NO.: INSPECTION NO.: -44 -5 <br />DATE OF INSPECTION: ZJ.Z7 11-X TIME OF INSPECTION: /4000 <br />INSPECTION TYPE: COMPLEITE X INTERIOR ONLY(] EXTERIOR ONLY[] REFUSAL[] <br />OCCUPANT: _ 1110AI�` L° 77446 alp /W-CoR, OWNER D TENANT ❑ <br />INSPECTION ADDRESS: /k--7..7" 04SC T eF aeZoW i6M ,9t3- --C <br />OWNER & ADDRESS: 2/�Dit?"9 257 7 Z 9 6 AoltO <br />GENERAL INFORMATION: dN CON e -, 3 L" - cA4r - c-6 oN /�.Py� <br />FOUNDATION TYPE: ' L 9CKS CG4m1 S COMMENTS: S ejW;K1& <br />SIDING TYPE: COMMENTS: u n!T- r <br />ROOFING MATERIAL: 3 ?7}x3 AS61. . COMMENTS: 1200 W <br />CHIMNEY TYPE: ltlgy ►l , r/C;7�/ 7— COMMENTS: <br />E OF STRUCTURE: ZCds—e s 7 NUMBER OF STORIES: <br />PORCH/DECK LOCATIONS & MATERIALS: &Ale. 09ZO e° 441 <br />SIDEWALK/DRIVEWAY LOCATIONS & MATERIALS: CAYc - 'or C <br />BASEMENT /CELLAR: YES[] NO® STRUCTURE FRONT FACES: AST <br />BROKEN GLASS: N E S W <br />DRAINAGE: <br />ROOF DRAINAGE ADEQUATE: YES( NOD PORCH DRAINAGE ADEQUATE: YESD, NOD <br />RAIN GUTTERS: YES. NO[] DOWNSPOUTS: YESD9 NOD <br />DOWNSPOUTS DRAIN TO: EARTH® TROUGH(] SEWER[--] <br />LOT: FLAT HILLY[] FILLD LOT DRAINAGE FLOWS: Yke d /n�z�o,�L.i <br />EROSION NEAR FOUNDATION WALL: YESD NO[% COMMENT IF YES: <br />WALL ALIGNMENT STRAIGHT: YES(g NOD COMMENT IF NO: <br />SETTLEMENT: YES[] N054 COMMENT IF YES: <br />UTILITIES: <br />WATER: CITY[] WELL® OTHER[] WATER PRESSURE: HIGH❑ MEDIUM LOW[] <br />HEATING: ELECTRIC[] NATURAL GAS OR LPG% STOVE[] <br />SEWAGE: CITY[] SEPTIC OUTHOUSE[] <br />_ .,nial Signature: <br />Inspector's Signature: <br />