70 W Dutton Island Rd RES20-0167 Form Board Elev Cert, Denisty ReportL E G A C Y In -Place Density Tests:
ENGINEERIleiG, INC Subdivision lLot Number: 76 Ta/42-d V,01 -
Geotechnical & Materials Engineering and Testing (Address ifno lot number)
Location Lift/Depth % Max Density
IS
ODr
The above tests meet the specification requirements — Pass Fail ❑ (if fail, see notes below)
Notes:
This report has not been reviewed by an engineer,
the final report can be. found at LegacyReports.com
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FORM BOARD ELEVATION CERTIFICATE
DATE:
PERMIT NUMBER:
ADDRESS:2 2)(17-1 d�✓�SGrt% ' �,
322 3�
REQUIRED SLAB ELEVATION ON
CITY APPROVED SITE PLAN:
ACTUAL ELEVATION OF FORM
BOARDS OR GRADE STAKE.
SURVEY COMPANY NAME:
SIGNATURE OF SURVEYOR:
PERRET and ASSOCIATES, INC.
NATHAN P. PERRET #fi90fl