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10001 12TH AVE SE 2016-01-01 MF Import
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10001 12TH AVE SE 2016-01-01 MF Import
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Last modified
4/4/2017 7:33:38 AM
Creation date
4/4/2017 7:33:31 AM
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Template:
Address Document
Street Name
12TH AVE SE
Street Number
10001
Imported From Microfiche
Yes
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�� <br /> _� ENGINEERING / PUBLIC SERVICES <br /> J !�l�i��CYION REQUEST I <br /> Date:. / _-��-�_Permit:_� �! _ —__ <br /> Project/Owner:_��.���i� — -!/_�/1'l���"�ld""���_ - <br /> Contractor:_-- l�_�—��./-�/����� _ _—_ ---.----_ -__ <br /> �' <br /> Site Address: _ _l�d� . -lZ�}��-_-S� _—_ _.—--- <br /> TYPE OF INSPECTION aEQUESTED <br /> � ' Sewer System= I_ I Sireet/Road Base <br /> I � S�orm Drain Syslems � ] Rool/Footing Drains <br /> Water Systems ('. Public Works Final <br /> ' �� Curb/Gulter/Sidewalk <br /> _ - Other: _ - - .— <br /> I� ' APPROVAL �� ���, PARTIAL APPROVAL <br /> ! ; VI N I I. CORRECTION REOUESTED <br /> ; ; Corrections listed below MUST BE M�DE before work can be approved. <br /> i_ i Piease conlact insp�ctor and arrange for appointmenL <br /> jJ Was not able to perform inspection. <br /> i I CALL(425) _ _ _ _ _. ___ FOR REINSPECTION — 24 hour nolice required. <br /> ,�O,O� �-�1� /�oOri�/� 1���/� -- <br /> �'�����> _ _.�l/5���'7'��� -- <br /> Inspector�l�����G�/f��`._�G_—�e � ._!_�`� <br /> EPSIR(b/CG) � DAIABAR.INC. <br />
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