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12612 18TH DR SE 2016-01-01 MF Import
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12612 18TH DR SE 2016-01-01 MF Import
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Last modified
4/10/2017 10:23:21 PM
Creation date
4/4/2017 3:47:48 PM
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Template:
Address Document
Street Name
18TH DR SE
Street Number
12612
Imported From Microfiche
Yes
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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date:�"'/ ��� Permit: ___-- <br />Project ! Owner. _��_�j.� ���ir--��— -- -- <br />Contracror. __,�/� . �.�i'�— _ �� _.- -_— <br />-. <br />- <br />Sile Address: __ oZ�G�_— -.:� "-- �'� � ' �- <br />TYPE OF INSPECTION REQUESTED <br />� Sewer Systems [� Street / Road Base <br />L, orm rain ystems ❑ Roof / Footing Drains <br />� I VJater Systems ❑ Public Works Final <br />� � Curb / Gutter / Sidewalk <br />� � Other _ -- --- <br />� � PARTIAL APPROVAL <br />❑ CORRECTION REQUESTEG <br />�_� Corrections Iisted below MUST BE MADE belore work can be approved. <br />[� Please coNact inspector and arrange for appointmenl. <br />❑ Was not able to pertorm inspecGon. <br />,J CALL (425) _ ___ FOR REINSPECTION — 24 hour no�ice required. <br />..S/G� .S��j.�/�._ /i✓ �i - - - /a� - <br />- - -- s�`�.s��—.,�— ._ — <br />Inspeclar GL�/!`T� v/v��-' �/�Y __�^.vaie � � J---��--- <br />EPSIR (6/09) ��� DAiABAR, WC. <br />I, <br />
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