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' ' CC�-lU�G0� <br /> � CASCADE TESTING LABORATORY. �N�. 131196 <br /> TESTING&INSPECTION ►REVIOUS <br /> 12p1V N.E. t�ATH�LACE RE�ORT No. No. <br /> KIqKLAND,WASNIN�TON V!O]� (4251823-9800 <br /> EVENETT (425)259-0817 �TE ) CERT.NO. <br /> �/� /� <br /> Fl ELD REPOR"i� �E�T Y _ ; � <br /> �oc�noN � <br /> �; w '�i- • n rc� . c. v <br /> . RMIT N0. OWNER <br /> �. 40 <br /> THER TEMP. AM <br /> ���� � W�4 gB7,l13 �-7 G�ow1 ° � <br /> EN01 EE /^_ - <br /> ( Wi/i/1 <br /> ARCMITECT <br /> ATTN: <br /> CONT ACTOR <br /> [ r!G <br /> �z� t� <br /> INSPECTION PERFORMED _LATERAL WOOD ITEMS INSPECTED � FOUNDATIONS <br /> _ RESTEEUCONCRETE _RESTEELONLY _ FOOTINOS _ SUB <br /> _ RESTEEUMASONRY _STR.STIWELDING � AUdER CAST PILES _ COLUMNS <br /> �EPDXV —STR.ST/BOLTING — DRILLED PIERS — WALLS <br /> _ OTHER — BEAMS <br /> Q// � �77/— 1 � <br /> (LOC TION(AREAS) /�/C . 1 777n' . /�OZ� ' H � � /l <br /> �:,,�.,1.: � �J ��-,- �io/�i�� nrw w <br /> �) CRETEIMASONRY <br /> MIX NO. DE RENCaTN(1'c) <br /> SUPPLIER TOTAL CU.YD.P <br /> SLUMP�1NCHES) SPECIMENS CAST <br /> AIR CONTENT(Y.) CYLINDER REPORT NO. <br /> �ES_NO_ITEMSINSPECTEDWEREINCONFORMANCEWITHBL .DEPT.APPROVEDPUNS <br /> �%A / h <br /> REM.\RKS: C (SYi `l� � �'/ �u ',S„{I () /rJ <br /> r� <br /> � n � <br /> �! � rc � c° � <br /> . � <br /> 1 r � CS/VG. ,l1or uJad ,� ` <br /> '�y �i��`�lA-.T/' <br /> r—� <br /> TEST PESULTS APPLY ONLV TO THE ITEMS JLI/��'I�� �2�nYf%)/lt Z�I <br /> HEREM TESTED.THIS REPORT SHALL NOT INSPECTOR(S).NAME�S)PRINTED l� r� irf.yi t� �i � 1 <br /> UE REPRODUCEO EXCEPT IN FULL,WITH� �� <br /> OUi THE WHITTEN APPROVAL OF CASCAOB <br /> TESTING 1A00RATORY,INC. INSPECTOR SIGNATURE <br /> REVISED 12V] SIGNED BY �_ � <br /> tL n � <br /> COPIES T0: <br /> � <br />