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9218 4TH AVE SE 2016-01-01 MF Import
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9218 4TH AVE SE 2016-01-01 MF Import
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Last modified
5/18/2017 11:41:14 AM
Creation date
3/7/2017 11:20:52 PM
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Template:
Address Document
Street Name
4TH AVE SE
Street Number
9218
Imported From Microfiche
Yes
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ENGINEERING / PUBLIC SERVICES <br />- INSPECTION REQUEST <br />Date:_IO �� Permit:�� 1 � `-'' ~U `^' <br />Project / Owner: <br />Contractor._(J �lX/ '�`�, �_ <br />SiteAddress:���— �� `�� -- <br />TYPE OF iNSPECTION REQUESTED <br />❑ Sewer Systems ❑ Street / Road Base <br />❑ Storm Drain Syslems ❑ Roof I Fooling Drains <br />❑ Water Systems ❑ Public Works Final <br />❑ Curb / Gutter / Sidewalk �\� � <br />(� Olher: <br />F APPROVAL ❑ PARTIAL APPROVAL <br />�_� VI L N ❑ CORRECTION FEOUESTED <br />❑ Corrections listed be�ow MUST BE MADE belore work cai� be approved. <br />[] Please contact inspector and arrange tor appointmem. <br />❑ Was not able to pertorm inspection. <br />❑ CALL (425) _ FOR REINSPECTiON — 24 hour nolice required. <br />FVSIp (0/4V1 • �� ONnOAR. INC. <br />
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