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10013 4TH AVE W 2016-01-01 MF Import
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10013 4TH AVE W 2016-01-01 MF Import
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Last modified
4/7/2017 2:26:55 PM
Creation date
3/7/2017 11:26:09 PM
Metadata
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Template:
Address Document
Street Name
4TH AVE W
Street Number
10013
Imported From Microfiche
Yes
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ENGINEERING I PUBLIC SERVICES <br />'— INSPECTION REQUEST <br />. Date:�_�.3J-S _ Permil. ��Z�Z— ��S_� <br />� <br />Pro�ecl / Owner f-/�i���' _y�'���C_ <br />Coniradcr.__ af^'���" �. — -- - <br />�' / <br />Sde Address _ ���--3 � -_���� G`�= - <br />TYPE OFINSPEGTION HEOU[STED <br />�� Sewer Systems Sh�et ' Hoad 8ase <br />��I Storm Drain Systems �-- - �Rooi i Fooun Drains <br />Water Systems ./ i ublic Works Final <br />I � Curb / Gutler / SiCewalk `�� <br />� ! Olher� . — <br />�APPROVAL �_IPARTIALAPFROVAL <br />�� I .I GOHHfCTION REOU[STED <br />Conections hsted below MUST BE �dADE before work can be approveo <br />� Please contact mspeclor and arrangr_ lor ;�ppoW meM. <br />i; Was noi ablc to peitorm msper.tion <br />� � CAIL (A25) . . _. FOR REINSPECTION - 23 hour no6ce requn��d <br />�/T"� //yY"� -- - - <br />S�/�T�"-S'_�-��'7r��?y ' <br />�i ����Y���''� T `��_ <br />��s��,���, „e '4�.- <br />� :.�p rt.�na� f <br />DAInBM iv�� <br />
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