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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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� E�IGINEERING / PUBLIC SFRVICES <br /> - INSPECTION REQUEST <br /> � U 7[0 �cSZ� <br /> Date: 7^�z—��Permit: C��T <br /> Projecl /Owner: � �/S//S�f�,� /�0/`�—S <br /> Conlractor. �� ��i� �S <br /> Site AddrPss: I ��'�� l Z�_/¢/��, S� -�i � <br /> TYPE OF INSPECTION REUUESTED <br /> e.ver s ems Slreet/Road Base <br /> Storm Drain Systems Roof/Footing Drains <br /> Water Syslems Public Works Final <br /> � Curb/G�;tler/Sidewalk <br /> Olher <br /> PPROVAL PARTIALAPPROVAL <br /> VIOIJ�TION CORRECTION RE�UESTED <br /> Corrections listed below MUST BE �dADE betore work can be approved. <br /> Please comac� inspector and arrange lor appointment. <br /> . Was not aMe lo pertorm in5peclion. <br /> CALI(425) FOR REINSPECTIUN — 24 hour notice required <br /> �/� 7!�!/�'�/� -_ .�/Y��� -S��S�/J��Y/.�� <br /> — -- -- -- — __.. I <br /> msPeclor Li'��-� �/'/1���`�i1�"j� — -- ote--7�- / Z_` �3 _ <br /> t�r�sa�nruo� naiaonia.i�c <br />
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