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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 SER1/ICES <br />INSPECTION REQUEST <br />Date:�'-/� ' �-_ Permit ---- .-- - -- <br />Project / Ow�er: _ Co�Oi�%��/_ C� ��!`_/L�S - ---- -- - _ <br />Contractcr:------'-`_---- - — - -�31� •3Y0� <br />--- — — — <br />Site Ad�ress:---�z�o��_ _ /8 ��•r_S.�_ •/�Z'�. h�o LS <br />TYPE OF INSPECTION REQUESTED <br />�wcr Systems � � Street / Road Base <br />torm Drain System� � � Roof / Footing Drains <br />Water Syslems �_� Public Works Final <br />� Curb / Gutler ! Sidewalk <br />L ; Other. _ _ __ -_- - -- - <br />L'IAPPROVAL <br />I J VIOLATION <br />I i p�,RTIAL APPROVAL <br />� I CORRECTION REQUESTED <br />L� Correciions lis�ed below MUST BE MADE before work can be approved. <br />i_� Please contactinspeclor and arrangefor appointment. <br />� 1 Was not able to periorm inspection. <br />�� CALL (425) ___ FOR REINSPECTION - 24 hour nolice required. <br />�='Ge�—�_ �iic/S %�/Si�GC:� _ — <br />- — — - — — - j,�7%f'��C'IC�.C'j_l ---- — -- <br />Inspector C���� �/f(���yl�J� c—y+�—� ��' �� - - . <br />EVSIR (6/07) D4iABAR. INC <br />
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