Special Inspections Form - Signedlspaci� Fn1Eli.t� 2tf28A46h 1?yalo �i Arwx+i(a�ig�ed),9�i�12Wto; .
C*3kidor.
The coot *4 provide the WOW inspector or WacT. adequate WMcatm o(wo* mquaW9 mpecdom
Tlw City approved plan and specifications num be made available,at the jobsita foe the use bf. tie special ,'
itL� and t1w City hzpec . The contractor shall; maintain ail daily inspection.reports, on sift for review by
all} parties.
The special kq=fi(m:1Wwdons. are consWeredta .be in addition to the normal W-1 pm*rmed by. the City
F aad the tonfildML jS mspmWbIc far contacting the City to scledWe regWar inqwtions- No conaete shall: be
poured or other work covered until q4yrovW is giveo by the City inspector.
...........r4 Pat:
shall review may.tavisims acid addenda. The bVCity.in-w—ecor * W0 monk" dw Special oction mina &r compfianoe with m
tim apt and the appved,oa�� JU'Cit;impedor..Y ` shall be
mpomble ft approving variow stems ef construction to be Covered and fer.work ;o FttC"
Deer l�rotesdols:
)cdft "es pf-special
V* airy 00brong, uwxr Will Calmly indicate on ft Plan's and spoqir�s the., q
Uqmfim rewired =4 shall imlWe a stele for mmedim and restiftg, no aWhitea "Smm. vviil
coonfinde their revision and addertda.proccss in sacir'a way as to e:raiavr+a that all
&Wmd, prior to.work shown on the revisions being performed in the field.'
7be projea owm, or the architect or engineer acting as the mmus ageot, Aall empWy the special Wsptofor or
ENWRCEWNT
A hilmo of the special inspector or 6M to pedbrm in Itteping with the mF0=Uft% of the.M. ft ApIpmed
OlWiln., offk*d S ''appra I of . * m plans and 0& docurrmt, may void this agrem=t and the R 7 Va to spodal *Vwt
In such a. case a ww special inspector and/or firm would need to be P ;-opo's ed. for aMmvaL A fidhn of the
Aga antift coAsOuctift parties to pearm in ft"wilance with thisapm. menxmil�, ;vAdt-i 4 S"' -wow,
uettice being pasted an
the proj
ect
UQW AMCoff oaning ift= baVe b= J06WV0&
ACKNOWLEDGMENU
i.havie read and agree to tomply with the tam andC4mdidons of dqF4grmV"nt..
,
Ownm &0 !LV%l V" Sign 7
conftaoor:
Arch./Eng. V ML Engineering LLC oa t Wire Wkhail Lefelman
SpdeWlnsp., Carley Trammell .6/2/2020
sp,=iw iuqx Agency, Otto Rosenau &Associates, Inc.
ACCEPTED FOR THE CITY OF EDMONDS BUMDING DMSTON
BY: Date:..__ . I
1nsp"tinm\BL1) 202O4W66 Egufo S1 A,wmwmt (UmVW)AWY] 2M20