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2801 Youngfield St., Suite 171 <br />7a 00, Golden, CO 80401 <br />303- 456 -5638 <br />Toll Free 888 - 456 -5638 <br />Fax 303- 4.56 -5639 <br />Eaffus . It p1t t ,7 I.y"11«su www.mathesonmining.com <br />CONDITION INSPECTION <br />CLIENT: Ie %z'i°'�"���J jc� � ..�° �d LOCATION: /���`�C- . ,' �'t;3e 2et�4-6 <br />INSPECTOR: e - P /Vi va? -- - . ' "� _ JOB NO.: INSPECTION NO.:. 4:53 <br />DATE OF INSPECTION: TIME OF INSPECTION: <br />INSPECTION TYPE: COMPLETE) INTERIOR ONLY❑ EXTERIOR ONLY❑ REFUSALE] <br />�i. OWNER El TENANT ❑ <br />OCCUPANT: ���� � �. �r� -. <br />INSPECTION ADDRESS: <br />OWNER & ADDRESS: _�%'- '�I��'C'� <br />a�� lld -.�; <br />GENERAL INFORMATION: <br />FOUNDATION TYPE: WE-7 C'� ®r� _ COMMENTS: I <br />SIDING TYPE:. "�,.�- �°` COMMENTS: V C A AA-� �- <br />ROOFING MATERIAL: COMMENTS: <br />CHIMNEY TYPE: AL V14 SW %� COMMENTS: <br />? OF STRUCTURE: ce') '' NUMBER OF STORIES: <br />PORCH /DECK LOCATIONS & MATERIALS: _�.�,�° `''dJ /�L eoV V _ <br />SIDEWALK /DRIVEWAY LOCATIONS & MATERIALS:1.�L" <br />BASEMENT /CELLAR: YES❑ NOX STRUCTURE FRONT FACES: �k)C:/7fi <br />BROKEN GLASS: N? E ' S W <br />DRAINAGE: <br />ROOF DRAINAGE ADEQUATE: YEStX NO❑ PORCH DRAINAGE ADEQUATE: YESXNO❑ <br />RAIN GUTTERS: YES fg NO❑ DOWNSPOUTS: YES)& NO[j <br />DOWNSPOUTS DRAIN TO: EARTH TROUGH❑ SEWER[] <br />LOT: FLAT[] HILLY® FILCH LOT DRAINAGE FLOWS: � � <br />EROSION NEAR FOUNDATION WALL: YES❑ NO[X COMMENT IF YES: <br />WALL ALIGNMENT STRAIGHT: YESANO[J COMMENT IF NO: _ <br />SETTLEMENT: YES❑ NOX COMMENT IF YES: <br />UTILITIES: <br />WATER: WATER PRESSURE: HIGH❑ MEDIUM[] LOW❑ <br />HEATING: ELECTRIC❑ ;NATURAL GAS OR LPG[] STOVER PlirAW ,#p�" <br />SEWAGE: CITY❑ SEPTICD OUTHOUSE❑ <br />ial Signature: — -- <br />Cnspector's Signature: <br />