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4105 OLYMPIC BLVD 2018-01-02 MF Import
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4105 OLYMPIC BLVD 2018-01-02 MF Import
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Last modified
2/25/2022 10:41:14 AM
Creation date
2/25/2017 2:50:44 AM
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Template:
Address Document
Street Name
OLYMPIC BLVD
Street Number
4105
Imported From Microfiche
Yes
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G-7E77 <br />ENGINEERING / PUBLIC SERVICES S <br />INSPECTION REQUEST <br />Date: /'/-1 / .Permit: _A / ✓ cf— Da(0 <br />Project / Owner: <br />Contractor: <br />Site Address: _ f=/!/.7 <br />TYPE OF INSPECTION REQUESTED <br />❑ Sewer Systems ❑ Sheet / Road Base <br />❑ Storm Drain Systems ❑ Roof / Fooling Drains <br />Water Systems ❑ Public Works Final <br />❑ Curb / Guttr / Sidewalk' / ('G.� �� <br />Oth r. _ 2oJ�p/�/ - Jry�iiii9 /_�"i_ 0nJ_ - _ �a <br />0 APPROVAL j PARTIAL APPROVAL <br />VIOLATION CORRECTION REQUESTED <br />ons listed below MUST BE MADE before work can be approved. <br />contact inspector and arrange for appointment. <br />U Was not able to perform inspection. <br />❑ CALL (425) _- _ _ FOR REINSPECTION - 24 hour notice required. <br />it <br />Inspector X-Z <br />_ p _ izze -Dale /--�3-14-- <br />EMR (e109) DAIABAR. INC. <br />
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