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1012 BROADWAY 2016-01-01 MF Import
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1012 BROADWAY 2016-01-01 MF Import
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Last modified
1/23/2017 6:29:59 PM
Creation date
1/23/2017 6:29:39 PM
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Template:
Address Document
Street Name
BROADWAY
Street Number
1012
Imported From Microfiche
Yes
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rv'`•�`� I <br /> ENGINEERING / PUBLIC SERVICES <br /> INSRECTIQN REQUEST ; <br /> 4dc;ress_((i I o1 /3/ccC�I.+lat� <br /> J <br /> Contractor <br /> Owner �l'1 <br /> Date _�=�Ct_� Permit No: �,,��1�C�_Q3� ' <br /> TYPE OF INSPECTION REQUESTED <br /> @�51DE SEWER CG I) -(;��'' <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STAEET <br /> 7 <br /> C3-���ic � � '{�41Q—.lS._�fDd��------ <br /> INSPECTION REQUESTED ON_ C� <br /> DAiE Lb•,F <br /> CfiA�PROVAL ❑ PARTIAL APPROVAL � <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED � <br /> ❑ Corrections lisled below MUST BE MADE be(ore work can be approved. <br /> ❑ Piease cornact inspector and arrange for appointment. <br /> ❑ Was not able to perform inspection. i <br /> ❑ CALL 425-257•8810 fOR R INSPEC�lION—24 hour notice required. <br /> A2S C-� C_ �c}� r..,L=�� <br /> �'✓ -T' �r S <br /> I <br /> . 7/ - o . <br /> Inspeclor_( � Dale�L�s C <br />
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