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_ Page 1 of 1 <br /> I<J:UZan�e &A s s o c i a t e s, I n c. Field <br /> Geotechnical Engineering a Environmental Engineering Report NO.:09624649DFRI22824GM <br /> Construction Testing and Inspection <br /> DATE: 12/28/2024 Set Count: CONTRACTOR: B&C Tower <br /> PROJECT#: 09624649 PERMIT#: <br /> PROJECT: SE1510A Downtown Everett-Wall INSPECTOR: G.Moe <br /> LOCATION: 2930 Wetmore Avenue JURISDICTION: City of Everett <br /> KA P.M.: WEATHER: Cloudy, TEMP:460 F <br /> As requested by B & C Tower; <br /> Inspected the installation of 5/8"x 3"HILTI KH EZ Screw Anchors as required for Gamma Sector <br /> Telecom Antenna Array Mounts. <br /> Screw Anchors were installed at existing West Concrete Parapet Wall as per manufacturer's printed <br /> instructions, reference ICC ES ESR—3027. <br /> Reviewed By: I 114J,, I ASTM Test#: Asset Numbe s : <br /> To the best of my knowledge,the above WAS performed in accordance with the approved plans,specifications and <br /> regulatory requirements. <br /> Superintendent/Representative: Technician: <br /> Offices Serving the Western United States <br /> Lynnwood(425)485-5519•Poulsbo(360)598-2126•Tacoma(253)939-2500 <br /> The information provided on this report is prepared for the exclusive use of the client.This report may not be reproduced in any format without the written permission of the client and Krazan&Associates.This report <br /> indicates our inspectors observation and testing results based on site conditions and contractor activities.This information is subject to review prior to final submittal.By signing this report,our inspector does not accept <br /> responsibility for validity of results.The same information has been provided by others on site.The test results apply only to the specific locations,and items inspected or tested.Template date 12/8/2023 <br />