HomeMy WebLinkAboutSpecial Inspection Report.pdfFINAL REPORT OF SPECIAL INSPECTIONS
Project: #J.Wly j2e-J>idt!N\CG-<7/uraffG lfDPt*I AtlcJ.Permit Number:
Project Location: t23q' Wt:.5t"ha. Vt!. rt CL ~de
Owner C \\-f\J2... L \ ~ + f'.i /:\N c '1 t\1) J ~ '-\
Address \ ~ 'S 0 \ v-l G'S I HAJ (,..,.,J c_ l (le L(· City: \) A.-1 L Zip: ~ ( ,b,~
Design Professional In ChargeJ'A. y 'd~ \.J,2 IA. v\>:f u! /-J-P Geo fe ch z: ~ ~ ,
Address: S'OZo J<.aj_ /S''f ~t1«<po:J $f'', ""'; .s.
City:~je11Wo<.J:Lgt11"'-15-Slate: "' Zip: ~lb'( Phone:~?? S--1?'
Fax: "fflf 5 '&'f L{-Ewmail: _d __ ~;;...__~t:.... _________ _
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.
Date
Preparer's Seal and Signature Required
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