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Page 1 of <br /> MAYES TESTING ENGINEERS,INC Field Copy/Subject to Review <br /> 20225 Cedar Valley Road,Suite 110 Ph 425.742.9360 Project No.: ,t 1 Lis ZS Date: 72( j 17 <br /> Lynnwood,WA 98036 Fax 425.745.1737 <br /> 10029 S.Tacoma Way,Suite E-2 Ph 253.584.3720 Project: C -t `(x-13 V /11 ''L7.4c+'r` <br /> Tacoma,WA 98499 Fax 253.584.3707 <br /> 7911 NE 33rd Drive,Suite 190 Ph 503.281.7515 Permit No.: 5316 10 -c 3 it Weather: C Lt"*L- <br /> Portland,OR 97211 Fax 503.281.7579 <br /> Project Address: 747-03 iL.g y V e'er-e G✓.4 <br /> Inspector: A ` u1Lc)5 Hours: Owner: <br /> Time: to Engineer: <br /> Inspector: Hours: Architect: <br /> Time: to Contractor: ti! -t1CeSe <br /> Inspector: Hours: Type of Inspection: L1/F <br /> Time: to Samples: <br /> SUMMARY: ! 7-04 s p cc r Y). C L. (""di44 e rD S el- <br /> F& 1 F L U EZ-- vt+ —c.ti AA/Z c.4-L.. fc F.✓4—LJ A c3c <br /> r Lic .S vv 64-4"i`t> 1.4 Z ZAi tfrIA t <br /> FOG-)aJA 'Tm 1 s c.L.. sic ef 20,Z,,vG: Tv Ot 7 NT,L) <br /> - 3( 57( 3 , <br /> To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. <br /> ?(•" Yes _No _Preliminary Inspection <br /> NONCONFORMING CONDITIONS/CORRECTIVE ACTIONS TAKEN: <br /> MTE 1000-3C,Rev3,6/13/11 <br />