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10314 19TH PL W 2016-01-01 MF Import
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10314 19TH PL W 2016-01-01 MF Import
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Last modified
4/7/2017 6:25:03 PM
Creation date
4/2/2017 3:20:04 PM
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Template:
Address Document
Street Name
19TH PL W
Street Number
10314
Imported From Microfiche
Yes
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` �- ; ENGINEERING / PUBLIC SERVICES <br />��=' INSPECTION REQUEST <br />Dat�: �—/3`�� Permit: �W /Ct�s =c�3 <br />Project ! Owner. �=��- � � <br />Contractor: %��/�j� �j`��� <br />Site Address: ��%3�� �� ' � �L, (�� <br />TYPE OF INSPGCTION REQUGSTED <br />Sewer Systems Street / Road Ease <br />Storm Drain Systems Roof / Footin Drains <br />b;'ater Systems Pu6 ic Wurks Finat j <br />Curb / Gu��er / Sidewalk — <br />Olher: <br />APPROVAL '� PARTIAL APPROVAL <br />� CORRECTION REOUE�TED <br />Correclions listed below MUST BE MADE belore work can be apprc.�d. <br />Pleasc ccNacl inspector and arrange for appointment. <br />. Was not able to perform inspection. <br />CALL (425) FOR REIN59ECTIOM — 24 hour notice required. <br />S/�' 6i/�'/��"" S�T/S�`=�C�'D/Z� -�.�� <br />/`7�/L�is� /z�,�. /,tnil� f'/G�� <br />G� � /�i�i��� so /'rs� TD ��l��i` <br />9�'� �'��'�c-� � si��z�-r ��i�-�� <br />,�'�r,�l- n�,�= <br />�a __ _ __ - --- -- <br />Inspector .C-�jl�.G/ii��-�'yI�V _- —_- - Date �-�3 /� . <br />ecsie �e�oa� <br />DAIABAR.INC <br />
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