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1609 LOMBARD AVE 2016-01-01 MF Import
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1609 LOMBARD AVE 2016-01-01 MF Import
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Last modified
2/17/2017 4:19:39 PM
Creation date
2/17/2017 4:19:31 PM
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Address Document
Street Name
LOMBARD AVE
Street Number
1609
Imported From Microfiche
Yes
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ENGINEERING / PUBLIC SERVICES <br /> ' INSPECTION REQUEST <br /> Date: �'z�-l�ermit l//,� -' _0�� <br /> Project/Owner. _/`1`—°rGG/�'1`�f'_ _ _ _ _ .. _ _ _ <br /> Contractor. __ ��G/q`''�7'`-��.� ___ --- -__-- _ <br /> Site Address_ ���_/__ _ ��`�/S�/�/�'1�------ -- - <br /> TYPE OF INSPEGTION REQUESTED <br /> , Sewer 5 slems i Street/Road Base <br /> �,._� torm Drain Systems ,__I Root/ Footing Drains <br /> j Water Systems ! 'I Public Works Final <br /> , � Curb/Gutler/Sidewalk <br /> _ � Other: ___ _ _ _ _ <br /> , APPROVAL � . PARTIAL APPROVAL <br /> .,_ � N �. CORRECTION FEOUEST[D <br /> ! � Corrections listed below MUST BE MADE be(ore work can be approved. <br /> � Please cornacl inspector and arrange for appointmen!. <br /> !_ � Was not able to per(orm inspedion. <br /> �_ � CALL(425) . _ _. _. FOR REINSPECTION — 24 hour no�ice required. <br /> ��/��!c �'�f=�9/� - -r�ffp� _ _ <br /> - - - - S�_T_/s�"�'c�f��_ <br /> Inspectar����,�//<����f� �� <br /> - - - - __ _ ---� <br /> ei�sin�rro�� � r iie <br /> 3 <br />
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