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10003 12TH DR SE 2016-01-01 MF Import
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10003 12TH DR SE 2016-01-01 MF Import
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Last modified
4/4/2017 8:46:32 AM
Creation date
4/4/2017 8:46:23 AM
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Template:
Address Document
Street Name
12TH DR SE
Street Number
10003
Imported From Microfiche
Yes
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�` - ENGIN�Et�iW�G / Pi1BLIC SEFtVICES <br /> � 11�lSP�CTIOw REQUEST <br /> Address /Ooo,3 iZ'—_"�/�iZ_ �a <br /> Contractor !,i`���� �'�'� <br /> Owner ��i�CTl� - �O-i'�'�s <br /> Date lZ��'�� Permit No. (� 07(GUZZ �� <br /> ! <br /> TYPE OF INSPECTION REQU[STED <br /> DE SEW <br /> U CURB/GUTTER/SIDEWALK <br /> U STREET <br /> � �zo� .v2���S <br /> INSPECTION REQUESTED ON @ <br /> DATE TIME <br /> PPROV ❑ PARTIALAPPROVAL <br /> � VIOLATION ❑ GORRECTION REQUESTED <br /> � Correclions listed below MUST BE MADE before wo!k can be approved. <br /> � Please contact in;pector and arrange for appoinlment. <br /> � W�� not able to perform inspection. <br /> � CALL �425) 257-SII70 FOR REINSPECTION — 24 hour notice required. <br /> �G�G �, /C , ----- . <br /> i <br /> ----- � <br /> - � <br /> ; <br /> Inspector �— � Z- '��� —� � <br /> . �.�.,:�,i<., . . ... .. <br />
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