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9331 5TH DR SE 2016-01-01 MF Import
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9331 5TH DR SE 2016-01-01 MF Import
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Last modified
4/3/2017 11:10:34 AM
Creation date
4/3/2017 11:10:29 AM
Metadata
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Template:
Address Document
Street Name
5TH DR SE
Street Number
9331
Imported From Microfiche
Yes
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J . .- . . . <br /> - ER'�INEERING / PUBLIC SERVICES <br /> - INSPECTION REQUEST <br /> -=-'�Err G o7'� �J� <br /> Date:/'Z6 _"/f�ermit: — _--_ _--- <br /> Projecl /Owner __��r_./�/�� L�2.�- __ <br /> Coniraclor.____—S���e. -/_ _/��/_�7���y�_._. — <br /> Site Address:_/_�.��_ -SY��i�__Sid' . _ <br /> TYPE OF' INSPECTION REOUESTED <br /> ❑ Sewer Systems �_.� Sireel/Road Base <br /> ❑ Storm Drain Syslems �_ i 3oof/ Fw6n Drams <br /> ` �! Waler Syslems �I Public Works Flnal <br /> ' '�. Curb/Gutter/Sidewalk <br /> ' Olher. _ __ _ ..._-- <br /> � � �PPROVAL ❑ PARTIA!_APPROVAL <br /> � .; VIOLATIOM � � CORRf_CTION R[OUESTED <br /> ❑ Corrections listed below MJST f3[ IdADF bebre work r,an be appraved. <br /> LI �'Iease contact inspeclor and arrange for appoinlment. <br /> � ' Was not abte to perform inspeclion. <br /> �__: CALI_(425) __._..___— FOR REINSPECTION — 24 hour notice roquired. <br /> 2� _,�JL"!�i_'�/S i/V.S��•,Cr.� �5,�_`�'�2� <br /> ��,���������F_ �/iiil�iYl�9i�/___..��-��6 i-�-_ <br /> Ft'SIR rGrO'n � UrJntlnil.u1:. <br />
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