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2124 JACKSON AVE 2016-01-01 MF Import
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2124 JACKSON AVE 2016-01-01 MF Import
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Last modified
2/19/2017 9:29:37 AM
Creation date
2/19/2017 9:29:34 AM
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Template:
Address Document
Street Name
JACKSON AVE
Street Number
2124
Imported From Microfiche
Yes
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/; ENGINEERING / PUBLIC SERVICES <br /> �� INSPECTION REQUEST <br /> Date� �-ZZ�� PermiC �� —��� � ,3 <br /> Project /Owner: . _ ������� --������� <br /> Coniraclor. �y/� ��G�/�7������ � <br /> Site Address: lo�� `����'�' `��� <br /> TYPE OF INSFECTION REOUEST[D <br /> '� Sewer Sysiems � � Sireel!Road Base <br /> �: torm Drain Systems � Rool/Footing Drams <br /> � � Watcr Syslems � � Public Works Final <br /> Cur6 I Gutter/Sidewalk <br /> Other: —--- <br /> APPRO � � I PARTIAL APPROVAL <br /> VIO�� � i CORRECTION RG(]U�STFD <br /> Co«cr.hons listed below MUST OE MAD[ bebre vrork can be approved. <br /> Please contact inspec�or and arrange br appoinlment. <br /> �, i Was nol ablr, to pr.rforin inspection. <br /> ! CALL (425) FOR RFINSPECTION — 2a hour notice required. <br /> S�� /���il� r7�,� <br /> _ ��-�5��7"�y - -- -- ------ <br /> f /✓D��_; e�y s�v� .o�— �; <br /> % _ r_�r��v- ��_ �✓�r or����.���� <br /> �-- - - s ����y_ _ _ <br /> / co�o� .�i�3-��-�-��ca- <br /> � �'/ c% - /�-- <br /> �,,;,�,.�:,���_��%� ��.o��y��-;�`r�-� <br /> IP'.ili V,l��l D�7AifAp IW'. <br />
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