HomeMy WebLinkAboutB12-0245 Special Inspection Report l
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FINAL REPORT OF SPECIAL INSPECTIONS
Project: l�u.P.I�I�A P'r I �1 C1Ci� Permit Number:
Project Location: � (p�� �ju� k,(" ( J'GG�l �OR.r� �c..; �l��c d�
Owner/Address City: Zip:
Design Professional In Charge:,l�A.,t� �, }�} �y ,y�q f G�
Address: p�� �°OTC�h � '�j D Z ( r�u✓r�N a ` �� 0� �5 �
City: G—IGt�I L.9ot�0I, S A t t� S State: � Zip: � Phone:q7b�/��7���
Fax: g�� -( �5�'c� � E-mail: �tC � h�C'i r7'�eL� • l
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To the best of my information, knowledge, and belief, the special inspections and/or testing required for
this project, have been completed in accordance with the contract documents.
Interim reports submitted prior to this Final Report of Special Inspections form a basis for, and are to be
considered an integral part of this final report. Any discrepancies that were noted in all interim reports
have been corrected.
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Preparer's Seal and Signature Required