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AY\A Matheson <br />Mining Consultants, Inc. <br />CONDITION INSPECTION <br />CLIENT: -6 L C- l rA, US t tit- LOCATION: &ALn A -LE , UC k kt) <br />INSPECTOR: i , JOB NO.: INSPECTION NO.: <br />DATE OF INSPECTION: '3 i 51 2GQ 6 TIME OF INSPECTION: P4 30 <br />INSPECTION TYPE: COMPLETE J INTERIOR ONLYn EXTERIOR ONLYC REFUSAL❑ <br />OCCUPANT: Lb I.S CLA FL/ Ai P4ESEA/ T (1 1 1■1A 0 OWNERR TENANT D <br />INSPECTION ADDRESS: /125 (o t/lvey RQi e i <br />OWNER & ADDRESS: L A Z) f Lo - T" AN <br />GENERAL INFORMATION: <br />FOUNDATION TYPE: C01■1 fe. <br />SIDING TYPE: WOOD 31 M;'1..'E <br />ROOFING MATERIAL: 1;'k .. 5-re. E L <br />CHIMNEY TYPE: A� I <br />AGE OF STRUCTURE: y�kr? S <br />Denial Signature: <br />• Inspector's Signature: <br />E. <br />C ' <br />I'� <br />2801 Youngfield St., Suite 171 <br />Golden, CO 80401 <br />303 -456 -5638 <br />Toll Free 888 - 456 -5638 <br />Fax 303 - 456 -5639 <br />www.mathesonmining.com <br />d2 <br />COMMENTS: e <br />COMMENTS: tUE 'C11 <br />COMMENTS: ,,,) TI•�1 (� <br />COMMENTS: <br />e l (4) NUMBER OF STORIES: I <br />PORCH/DECK LOCATIONS & MATERIALS: k/c o h 1 C . t <br />SIDEWALK/DRIVEWAY LOCATIONS & MATERIALS: ki kr )D At iE/-, P t Di t\; E. <br />BASEMENT /CELLAR: YES[ NOLA STRUCTURE FRONT FACES: Sc=O'r <br />BROKEN GLASS: NO E OS W <br />UTILITIES: f{) Pt/p IA/ELL <br />WATER: CITYD WELLD OTHERD WATER PRESSURE: HIGHn MEDIUMn LOWn <br />HEATING: ELECTRIC[ NATRUAL GAS OR LPGD STOVER ,V'i lE <br />SEWAGE: CITY[ SEPTICE OUTHOUSE <br />DRAINAGE: <br />ROOF DRAINAGE ADEQUATE: YES[] NOIR PORCH DRAINAGE ADEQUATE: YESD NOD AS$ <br />RAIN GUTTERS: YES❑ NOg] DOWNSPOUTS: YESn NO,ZI <br />DOWNSPOUTS DRAIN TO: EARTHn TROUGHn SEWERn <br />LOT: FLAT HILLY[ FILL[] LOT DRAINAGE FLOWS: AA A j iI E/1 <br />EROSION NEAR FOUNDATION WALL: YESS1 NOD COMMENT IF YES: 141A/04 <br />WALL ALIGNMENT STRAIGHT: YESX NOD COMMENT IF NO: <br />SETTLEMENT: YESD NO ' COMMENT IF YES: <br />