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SPECIAL INSPECTORS <br />CERTIFICATE OF COMPLIANCE <br />SPECIAL INSPECTOR REPORT <br />Each anspector must complete this report and mail it to the Community. Economic & Development <br />Services Department, Building and Safety Division. <br />PLAN CHECK/PERMIT NO /o/45+ / o DaiV I Weekly tr rinarQ <br />JOB ADDRESS <br />GENERAL CONTRACTOR {a; S"rrzqdt /ac k* "r;,// u/ t <br />TYPE OF WORK INSPECTED <br />Rernforced Concrete son ry_Hi-Tenslle Bolti no <br />Prestressed Concrete . Qre4tlgllilt . splqylApp!!9d <br />FrreproofingGypsrrm Concrete <br />Oiher <br />Welding <br />SpeEfy <br />DESCR <br />/A_Y <br />IPTION OF WORK INSPECTED <br />//1 <br />,/r:l l. <br />KazK' <br />LOCATiON <br />RE[,4ARKS <br />I <br />Pr/*Z d *:Klqn <br />A I !,,'o|.K cn thrs lob to date to the oest of my knowledge has been satrsfectonly completed and conforrns tc <br />il'e apcrc,ed crans and app|cable burldrn 9 code <br />801/r-//D7-/l-/q, DATE SPECIAL INS <br />tu/*1*; <br />'aasf/ <br />CERTIFICATION/REGISTRATION NO