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24113 56'rif AVE W
MOUNTLAKE TERRACE, WA 98043
(,M) 24S-2400 FAX (425')2'49,2408
411111
TACOMA DIVISION
10025 S, TACOMA WAY, SUITE PH -1
TACOMA, WA 99
F] W�il�253) 589-1804 FAX (251)589-2136
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PORVIAND DIVISION
6032 N. CUTTER CIRCLE, SUITE'48()
PORTLAND, OR 97219
(503) 189-1778 FAX (503) 25+1.19k8
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made within the defined scope of tire work, Certification shall not be construed to represent in inspection, approval of
acceptance of other associated work or a warranty of design or workabifint of the specification requirements."
Certified Report by
Professional Service Industries
TS - 98-1
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EQUIPM,EN,T IDENTIFICATION AND S/N#:
COPIES TO: IMAILED-�j
INSPECTOR:
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OWNER CONTRACTOR
ENGINEER BUILDING DEPT.
FIELD CONTACT:
DATE: J1z"
ARCHITECT SUPPLIER
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`This report is provided for the information of the client only. The reproduction of this report, by any method. and its NAME
ON OFF ST OT MILES
transmittal to a third party, by any means, except in full, without the full permission of Professional Service Industries, F
Inc., is prohibited."
"This certificatinn altpqtq to thp. Ar.mirlav of th. Yffl. Mt.41 I— It,. -1-1
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made within the defined scope of tire work, Certification shall not be construed to represent in inspection, approval of
acceptance of other associated work or a warranty of design or workabifint of the specification requirements."
Certified Report by
Professional Service Industries
TS - 98-1
E=MW
Date