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3121 LOMBARD AVE C 2016-01-01 MF Import
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3121 LOMBARD AVE C 2016-01-01 MF Import
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Last modified
2/18/2017 10:09:59 AM
Creation date
2/18/2017 10:09:52 AM
Metadata
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
3121
Unit
C
Imported From Microfiche
Yes
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V�� <br /> ENGINEERING / Pl1BLIC SER1lIC�S <br /> INSP�CTION REQUE�T <br /> Address_ l�� �ONt�ia�� �J,��__ <br /> Contractor__ -- <br /> Owner _ SGu� . cJ G <br /> Date �—Gh Permit Na �VC15Ci��-pU7 <br /> TYPE OF INSPECTION RE�UESTED <br /> ❑ SIDE SEWER uU5(G-�(7 <br /> ❑ CURBIGUTTER/SIDEWALK <br /> G STREET ', <br /> ��Lz+bcS�.��G����dl�/— <br /> IfJSPECTION RE�UESTED ON _ CC _ <br /> D�IE 1i':[ <br /> r��r <br /> ❑ APPROVAL � PAP.Tir;;_APPROVAL <br /> ❑ VICLATION G�-�C�RFCTION REQUIRED <br /> C3'Cr�rrechons Iisled below MUST EtE t�1ACE 6efore work :an be approved. <br /> ❑ ?iea�e contact in;pector and arrange for appointment. <br /> �] Was not able to perlorm inspection. <br /> ❑ CALL 425-257-8870 FOR REINSPECTION–24 hour notice required. <br /> ��.. �c:.-L^.4 –r•cdiS �f!) /`VG <br /> C�1/�3� aR C i/C•s' T'S'�L c. o <br /> . <br /> �� � � � — • � Da� , � C <br /> 1r���L <br /> —/-�, /' \ �,l� <br /> [/i2� ( f'�1J2 .1/t/SC•L.•�i/�ri! / 4�c�✓L�D .�'K �2R ) <br /> � /-t LT ���Y ti���D S' To <br /> -rc L — <br /> c,/. <br /> / 7 <br /> Inspedor L1;� �--�-- S -j --. --Date_ _ Ci( <br /> •� <br />
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