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Matheson <br />0 Mining <br />Consultants, Inc. <br />2801 Youngfield St., Suite 171 <br />Golden, CO 80401 <br />303 -456 -5638 <br />ToU Free 888456 -5638 <br />Fax 303 -456 -5639 <br />www.mathesonmining.com <br />CONDITION INSPECTION NoGxoq� aoloe4vd <br />CLIENT: FLA,-7,20 dQ LOCATION: ,5b O10 <br />INSPECTOR: JOB NO.: — INSPECTION NO.: #so <br />DATE OF INSPECTION: 017m 112- TIME OF INSPECTION: 0-72 <br />INSPECTION TYPE: COMPLETE g INTERIOR ONLY(] EXTERIOR ONLYD REFUSAL[] <br />OCCUPANT: �'� C&A - MAAhjrg&jC OWNER[] TENANT O <br />INSPECTION ADDRES _j/�1�3a6'7?2 A164UA ' CO <br />OWNER & ADDRESS: <br />GENERAL INFORMATION: <br />FOUNDATION TYPE: e,%,P i3 4 � aOMMENTS: <br />SIDING TYPE: dpA0wZ-/l 71M- 2 7717,COMMENTS: <br />ROOFING MATERIAL: &AW, /1/IC77'`I"L- COMMENTS: <br />CHIMNEY TYPE: �r ,Vl�I COMMENTS: A�MO -S-j 1l <br />OF STRUCTURE: N NUMBER OF STORIES: <br />PORCH/DECK LOCATIONS & MA ERIALS: /V/f <br />SIDEWALK/DRIVEWAY LOCATIONS & MATERIALS: All`s <br />BASEMENT /CELLAR: YES NOR STRUCTURE FRONT FACES: <br />BROKEN GLASS: N_ AIA - E__A&4 S M- W-AIA- <br />DRAINAGE: <br />ROOF DRAINAGE ADEQUATE: YEStK NO[] <br />RAIN GUTTERS: YES[] NOX DOWNSPOUTS: YES[] NO)4 <br />ATV Tt -rlgA a/ •1Ta+.- --I . v. - --. --- <br />LOT: FLAT HILLY[] FILLn LOT DRAINAGE FLOWS: <br />EROSION NEAR FOUNDATION WALL: YES❑ NOJ) COMMENT IF YES: _ <br />WALL ALIGNMENT STRAIGHT: YES59 NOD COMMENT IF NO: �L - e,S1dr <br />SETTLEMENT: YES❑ NO COMMENT IF YES: <br />UTILITIES: <br />[T A TT Tl <,C T T[[! T:n ll- LTTlT =1(T <br />u <br />HEATING: ELECTRIC NATURAL GAS OR LPG© STOVER pV0fW <br />S9 WA-6 <br />i- .gal Signature: <br />Inspector's Signature: <br />