HomeMy WebLinkAbout809 E 1st St - Engineering
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CITY OF PORT ANGELES
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REQUEST:
Date 1- I f- 0 I
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
Yo 1 E
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1~~/1 +3
/5+
Phone No.
Permit No.
Sewer Excav. Other LcJ~ H1/'
INSPECTION NOTES:
Inspected: Date Time By
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RESTORATION REQUIRED . . . . .. YES t/ NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel ~alt 0 PCC 0 Other
o Repaired by City Work Order # / Cf :1 ::2-~1 ;)0
o Repaired by Permittee ~ COMPLETE ~*?-iJb ~;if.
;:( 0 No Da~e Found 0 INCOMPLETE ~ - ~
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(Continue on reverse side if necessary) STREET SUPERINTENDENT
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