Laserfiche WebLink
PROPERTY INSPECTION REPORT <br />CLIENT: / /G~//li•~ ~ ~ ,C /,; c,• ~(' <br />ADDRESS:- '~ y2 y ~ ~ Cd y2~ <br />OPERATION/PERMIT NO: <br />PROPERTY INSPECTED: L"I~Zc~~~'/~ ~~5~~~~ <br />Street ~-~~ <br />~5 ro~--v ~ <br />City ~ State ip Code <br />Sao , ,~~-~. 9 ~_~~ <br />Phone Number <br />~~~~~~ <br />OWNER'S NAME. ~ ~tr":-u`~~ <br />Frame Construction: <br />Wood Frame `~ <br />Concrete Block <br />Other ~~ -~', 1 ~ <br />~7 ~a y/ r>: :. . <br />(Describe) <br />Exterior Finish: <br />Brick <br />Stone <br />Wood <br />Alum. Or Vinyl <br />Concrete Block <br />Other LD° <br />Describe) <br />Basement Construction: Garage: Size, Construction <br />Walls: Cncrt. Blk. Attached <br />Stone Detached <br />Tile Integral <br />Other ~a,.~•F,/e ~g.,~! T .~ r, <br />Floor: Concrete <br />Dirt <br />Main Beam: Steel <br />Wood <br />Wall Suprt <br />WATER SUPPLY <br />(Information from owner/tenant) <br />City <br />Softener <br />G f it.L'O/,~ <br />Spring <br />Gravity Fed <br />Pump Type <br />Age of Spring <br />COMM <br />Drilled Hand Dug <br />Pump <br />Submersible <br />Jet/Shallow <br />Piston <br />Age Depth <br />SW Level <br />Property Owner or Occupant Signature: <br />i <br />i Page ~ of,~ <br />Date of Inspection:~>< ~G~cic; <br />Type of Inspection: <br />Pre-Blast <br />Pre-Construction <br />Post-Blast <br />Other UG /Ll,t/'~ <br />Inspector. <br />(Signature) <br />Structure Type: <br />o,...:a,...~,.,i /~ <br />Co <br />Architectural Description: <br />Story (# of floors) S <br />Ranch <br />Mobile <br />Split Entry <br />Other <br />Age of Building Z~ y;^5 <br />Location of Property if above address is not <br />specific or owner's address is different: <br />Roof: <br />Shingle <br />Tile/Slate <br />Tar/Chip <br />Tar Paper <br />Metal L/ <br />Water Samples Taken: <br />Yes No r~ <br />Water -Gal./Min. <br />Observable Water <br />Conditions: <br />Iron Sulfu <br />,- <br />