HomeMy WebLinkAbout713 W 6th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST.
Date ,,- 16 -- q ~
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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)
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Inspected
Remarks
Date
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Phone No
Permit No g q ( <
Chimney Plumbing Final Sewer Excav Other l J..)C'L +-er E;:'
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Sewer Foundation Framing
INSPECTION NOTES
Time By
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RESTORATION REQUIRED YES
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Repaired by City
o Repaired by Permittee
o No Damage Found
~~ Order #
l~ COMPLETE
o INCOMPLETE
o Other
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(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)