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605 107TH ST SE 2016-01-01 MF Import
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605 107TH ST SE 2016-01-01 MF Import
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Last modified
4/14/2017 3:45:21 PM
Creation date
4/14/2017 3:45:14 PM
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Template:
Address Document
Street Name
107TH ST SE
Street Number
605
Imported From Microfiche
Yes
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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> L07" S' <br /> Da e:��1(/ Permi�����" <br /> Project/Owner:_. C3�., }��",�� n �,/�� <br /> Contractor.-C — S'(���C� '�' �" ` <br /> Sile Address:�U_�p��__��� _ P�V E 5� _ <br /> � ��S TYPE OF iNSPECTION REOUESTEO <br /> J Sewer Systems (� Street/Road Base <br /> ❑ Sto�m Drain Syst^ms [] Rool/Footing Drains <br /> L) Water Systems �J Public Works Finol <br /> ❑ Curb I Gutter/Sidewalk <br /> ❑ Other: �_ _ _._ <br /> ❑ APPROVAI ❑ PARTIAL APPROVAL <br /> ❑ VIOIATION ❑ CORRECTION REOUESTED <br /> ❑ Correctluns listed below MUST BE MADE before work can be app�oved. <br /> [] Please contact inspector and avange lor eppoinlment. <br /> Li 'Nas not able to perlorm inspeclion. <br /> [ � CALL(A25)_.____ FOR REINSPECTION — 24 hour no�ice required. <br /> s�.����w��-��� <� <br /> _�s�-�� �-:��t��-�'-- - ---- <br /> ��5���a, c�. ��o_cl�y —��-�g <br /> trsm teiovi ' � �-- o�a.wc <br />
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