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~tJILDING 1, PAGE 1 <br /> <br />HOME INSPECTION FORM <br />Form HIF-l. <br />Name of Inspector ANDERSON, CLYDE <br />Date of Inspection G1/10/91 <br />Coal Field:CDLO1dY0 COAL COh~ANY _____ <br />Front of House Facing: N S E W NW NE SW SE X <br />GENERAL INFORMATION <br />Owner <br />pURHAM, NAOMI <br />;92 HIGHWAY 13 <br />MEEKER, CD 81641 <br />Telephone (303)824-6291 <br />Ferson present during inspection <br />Owner Occupant ;t <br />~.Jccupant <br />SAMPSON, FRAM: <br />396 HIGHWAY 13 <br />MEEKER, CO 81641 <br />Telephone (303 1924-9332 <br />LOIS SAh1PSON <br />Original Structure (house] <br />Year house built 1889, year occupied by current ocoupant 1989 <br />Type of house: ranch split-level two story X <br />three story mobil home modular home other <br />Estimated square footage `?OOG <br />Type or construction: <br />brick concrete block =tone wood frame is AND LOG <br />concrete ather log <br />Sidin<n on house <br />none aluminum wood steel. <br />vinyl particle board r other <br />r'.ontains (insert ni-amber oY strr.acr.ure~,°, <br />porch(es) ~, deck/patio U~ t:edroomis; 4. Lath rn nrn~s~ _ <br />chimney <_, wood stove ~, antic <br />Basement 1, sump pump ! cellar 0. crawla~~ace <br />attached garage, ~J, +1et.ached garage 1, car port <br />ctheridescribe. <br />~=oundati.on type: <br />~prE!aC7 Foi~tin~;is Cii'"i.11B~i O1?_.' 3,ni;! _r'=, lye , i,9,}.d1:5 `LO.]K <br />C Cln t"].n000^': ~~ua 1.l '~OQT]iIVS ii, Lrl:<r10Wi'. Otilei- <br />fOUndatlOrl T.'y ~c lllf Dl'ma Ll.On Off';"t.3 iri~?d YI`i'.'!in: <br />O CC:U iQan~ 'K, GWne Y" !Dl?.il £. <br />'v'1 ~Ual. ~?~~5?i `J3 C10i1 _:th~r <br />Carcm~nts:flasonr':~ ~~.~u7_L- ~~f rriortarea sa!~d~-tc~-:~ -~~i_~ci:~=_ sui='~por <br />a'i1 ;u~ :m o:.rrr. .o~.; _>~nL.n ~ncr . ~:,a1'_ i~ `-~c ..i.~,ll.'. ~.ilos•~ <br />_~:~cr~_ crti~ fnccn -r%+r. fr~ r~rc_ii ar~~! rrrr pOPt10T1 Of FIOUS2. <br />