HomeMy WebLinkAbout2112 W 7th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST
Date /0 ~s().- ~D
Received by D.e-....-..<::, E (Phone,~)
Time /2- tJ J'-(
,
;L/ /r -tl....
Location of Work to be inspected 2- II -Z LA) 7-
Name of person requesting inspection De. '^"'- t "':;) E.
Address of person requesting inspection i 7 +c.... <4r E Phone No 1- I 7 - c{ ~tf <J
Type of Inspection (circle appropriate one) Permit No ~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav e~ )
INSPECTION NOTES
Inspected Date (0 - 30 -00
. .
Remarks re tJCd v- Sev Vt c....e
I
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iA.. e w
I IJJtA By De",-€'" tS E
I
~+e r eroc
Time
RESTORATION REQUIRED
YES
NO X
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gx
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order # 112-0
)(f COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
ow- :1.001 (7-~o
City of Port Angeles
Public Works Department
Water Distribution Repair Report
IWork Order No. (7 to
Reported Ie) / ~8/tn)
Repaired. It) /30/cJl)
Condition.
Source
Repair Location.
Address
Loc Description.
Component Repaired:
'Crew. 1l(P - 7Z 3
Emergency Routine ><
Citizen Complaint ><
Leakage Survey _ Other
~r;-- w 1fJ.
Itt 0c;..+er /M.e+er bo~
Main Line IDU:
Main. Joint Cir Break:
Long. Break _ Hole
Service:
Line Valve:
Hydrant:
Other:
Split Bell _
Clamp _
Other
Tap _ Corp Stop_
Flange Nuts, Bolts
Branch Valve
fLte...r:er 5 ~ tt e y
Pipe _
Stem
Barrel
Curb Stop _
Bonnet
Repair Type: Clamp _
Site Condition: Surface
Curb
Damage:
Cuts: Street Cut: Ft.
Dresser
"
Other IA.€ w rt-Le... -t ~ (- '9 ()
Gravel Roadway _ Asphalt Street _ Sidewalk
Top Soil Area _ Soil Type _
Main Condition:
Curb Cut: Ft.
Sidewalk Cut: Ft.
Diameter- Inches
Material.
Depth of Cover' Ft.
Internal Lining:
Tuberculation.
External Corrosion.
Special Conditions.
,.
'.-l
Joint Type.
External Prot:
N/A
N/A
Bedding:
Other Structures.
Minor
Localized
Severe
Extensive
Samples Taken: Pipe Section _
Coupon _
Water Off: From 10/1o/t:'TO TO---LZ...PM
From /0 /.:?O/08 To--LE-M
Apparent Cause of Leak: ~j n-te+{..'f'" jQskd
5/19/98
Page 1
PW-902.09