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2319 COLUMBIA AVE 2016-01-01 MF Import
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2319 COLUMBIA AVE 2016-01-01 MF Import
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Last modified
2/11/2017 11:00:13 PM
Creation date
2/11/2017 10:59:52 PM
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Template:
Address Document
Street Name
COLUMBIA AVE
Street Number
2319
Imported From Microfiche
Yes
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�Nt;INEERING / PUBLIC SERVICES <br /> � INSPECTION REQUEST <br /> Date:/�//�,3. Permit: C_/,3O$'_' 4D�o_. <br /> Project/Owner: __�_ _.�i��_— -- - - - - <br /> /� -c � <br /> Contractor.__ ___ __ _ __ __ _ _ —_ _ _ <br /> Site Address:_Z����G���_//� __ -- <br /> TYPE OF INSPECTION REOUESTED <br /> � I Sewer Syslems � � Sireet!Road Base <br /> � ) Storm Drain Syslems � ootin <br /> ❑ Waler Systems � � Pubiic Works Final <br /> [] Curb/Gutter!Sidetvalk <br /> r� Olher. _ __ __ <br /> J APPHOV/1L �_ � PARTIAL APPROVAL <br /> � � VIO 1 �__ � CORRECTION REOUESTED <br /> U Corrections listed below MUST BE MADE belore work can be approved. <br /> � ] Please contact inspeclor and arrange for appoiNment. <br /> � � Was nat able to perlorm inspec�ion. <br /> �_ � CALL(425) _ _ . _ _ __ __ FOR REINSPECTION — 24 hour notice required. <br /> SIJ� /�Yif� _ _�_s'����� <br /> Inspector �G��� ��/(�D/�///y --/�/O—/3 <br /> f f'GIR(6/[RI OAIAI1AIt.MC. . <br />
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