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2406 BROADWAY 2016-01-01 MF Import
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2406 BROADWAY 2016-01-01 MF Import
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Last modified
1/24/2017 1:41:15 AM
Creation date
1/24/2017 1:40:37 AM
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Template:
Address Document
Street Name
BROADWAY
Street Number
2406
Imported From Microfiche
Yes
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� <br /> r <br /> ENGINEERiNG / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Address�'h Rc <br /> Contractor t <br /> Owner �)i.c P _ � <br /> Date _J��� 'fL`_. Time � <br /> TYPE OF INSPECTION RE�UESTED i <br /> � SIDE SEWER ���'U U 3C� "� /3 <br /> ❑ CURB�GUTTER/SIDEWALK <br /> ❑ STREET �� <br /> � ���itcs� �� 1�0���1' �re,ur,��-yJ <br /> IN:PECTION REQUESTED ON__ _ � <br /> pAII iI1,lE <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REOUIRED <br /> O Correc�ions listed below MUST BE MAD[ belore work can be approved. <br /> ❑ Please contact incpector and arrange for appoiMment. <br /> ❑ Was nol able to perlorm inspection. <br /> ❑ CALL 425-257-8810 FOR REINSPECTION-24 hour no6ce required. <br /> _�� � _� lrvist <br /> �H �/i"P f <br /> — — ,� . / �o �, / /�r �3'tT✓� <br /> .... JF/�N �Hf� <br /> � <br /> , -� _ / 5"-n <br /> � <br /> Inspector._ ._________ _ . ___Dale _____ <br /> 1 <br />
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