HomeMy WebLinkAbout1620 W 7th St - Engineering
CITY OF PORT ANGELES ~
DEPARTMENT OF PUBLIC WORKS %o1'f'20
. . . . . . INSPECTION REPORT. . . . . . . . . . .
REQ~ST
_. 7 . ("fJ./
Date '-
7
Time
Received by
(phone, person)
/ ,..{
Location of Work to be inspected J ~ t
Name of person requesting inspection '-;J1(l ~.P ~~
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit No
~
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Sewer Foundation Framing Chimney
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INSPECTION NOTES . /
Inspected Date
Remarks
Plumbing Final Sewer Excav Other
~
~
\*
Time
By
A'.. ~ /) ./' /n /> /l//I /"'''-', -~ (
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RESTORATION REQUIRED
YES V'
NO
SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
.M. COMPLETE 10 - 2..- fJo /h H
D INCOMPLETE V-
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)