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CD011t-" <br /> CASCADE TESTING LABORATORY. INC. �T 137638 <br /> TESTING 6 INSPECTION PREVIOUS <br /> 12919 N E 12ATH PLACE REPORT No. No. <br /> A T 259-08 <br /> D.WASHINGTON 9Eo2A j425) 17 <br /> EVEAEDATE CERT.NO. <br /> FIELD REPOR o� d 5 zy-zoia /�� 0-6^e -P7ROJECT <br /> ! OCATION _ <br /> TO: v/cct9+/ 1Nt � Et'r� Am, _ g /3 <br /> P .PERWNO.1 ✓ OWNER <br /> //D //D fie: A/C 1510 550 t r-,c <br /> ATHE TEMP AM <br /> OPP/ 9$Gb� 011dr Eras 1 PM <br /> + •S <br /> ENGINEER <br /> t u e- <br /> ARCHIT TArTN <br /> N/ <br /> CO 7R OR <br /> (2) IDI <br /> INSPECT ON PERFORMED _LATERAL WOOD ITEMS INSPECTED — FOUNDATIONS <br /> " RESTEEUCONCRETE _RESTEEL ONLY ✓SIFOOTINOS _ SLAB <br /> _ RESTEEUMASONRY _STR.STNYELDINO _ AUGER CAST PILES COLUMNS <br /> — EPDXY —STR.STIBOLTING — DRILLED PIERS WALLS <br /> -- OTHER .— — BEAMS <br /> (4) <br /> LOCATION(AREAS) 24') e"/•c' ji <br /> NCRET MASONRRYT_,,,Jr MUX NO. 265L' � DESIGN STRENGTHIVO 51 <br /> SUPPLIER.. CM.{A'VI/f'T! TOTAL CU.Y0.PLACED 17 1/z <br /> ..yy <br /> SLUMP(INCHES) `'/�I SPECIAENS CAST -D�Y hp P <br /> AIR CONTENT IK) CYLINDER REPORT NO. �D�o <br /> ITEMS INSPECTED WERE IN CONFORMANCE WITH BLDG DEPT.APPROVEDPLANS YES IJ NO ❑ <br /> REMARKS: (/T SCI K. e G ! / ��- ` �� LY.O T,.1P✓e7� <br /> TEST RESULTS APPLY ONLY TO THE ITEMS /�� <br /> HEREIN TESTED THIS REPORT SHALL NOT INSPECTOR(S).NAME(S)PRINTED <br /> BE REPRODUCED EXCEPT M FULL. CADS <br /> OUT THE DOUCWRITTEN APPROVAI.IN FULL. I7H <br /> TESTING LABORATORY.INC INSPECTOR SIGNATURE <br /> REVISED 2! SIGNED BY <br /> COPIES TO A '*-*-Ryy S/7 <br />