HomeMy WebLinkAbout510/512 E 7th St - Engineering
REQUEST
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . INSPECTION REPORT. . . . . . . . . . .
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Received by (phone, person)
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Phone No
Date
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 Sewer Excav Other
Permit No
INSPECTION NOTES
Inspected Date ~ /I '9 /1J ~ Time By ~ -;:- ~ )
Remarks '>t4 <~ ~ g';;' / d..p~ ~daV ~ - _ _ n ----:.~
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RESTORATION REQUIRED
YES
NO
SJD
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
CJ No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DA TE)