HomeMy WebLinkAbout918 E 8th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST.
Date
Time
Received by
(phone, person)
Location of Work to be inspected WE),;? zl1
Name of person requesting inspection ';4 Yl 7P If> ":. Cr,.... 5. T, (. -TJ?:1 / e ')
Address of person requesting inspection Phone No
of Inspection (circle appropriate one) Permit No
Sewer oundation Framing Chimney Plumbing Final Sewer Excav Other
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INSPECTION NOTES
Inspected Date '1-1 7 - 0 2..---
Remarks C. D M P (p+~
Time
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By '--1...J xl
RESTORA TION REQUIRED YES X NO
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o Gravel [lI Asphalt 0 PCC
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o
SURFACE RESTORATION:
SURFACE TYPE 0 Unimproved
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . . . . .
135f51
REQUEST
Date
~/o/Lq
Time
f1 -3:J2-
9lf E cfib
} fL ~ /YU /J...-/
,
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)
Phone No
Sewer Foundation Framing Chimney
Permit No /307
Plumbing ~Sewer E_xcav Other ST/n dYA;n~
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5IDe-t-u~ J
INSPECTION NOTES / /)
Inspected Date ~.p Time
Remarks
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S 7-e> I" ,___ ~
By
RESTORATION REQUIRED
YES
NO X
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 #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
.....
CITY OF PORT ANGELES
DEPARTMENT 017 PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
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REQUEST
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Date /J J . ( I - 0 <--
Time
/;? /3 () I Received by cJ~/ 1. \.-
-'
(phone, person)
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Location of Work to be inspected 9/6 C 0 -
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Name of person requesting inspection L/" ~ 1'1- ~
Address of person requesting inspection
Type of Inspection (circle appropriate one)
.€J Foundation Framing Chimney Plumbing Final
INSPECTION NOTES
Inspected Date CA- / 9- c .;.2 Time
Remarks Iff.eci Gr, C.OYlC- ~';lO-AY\ \.v/ ~XL,
3d 1/ de.e f ~ S-'r F < tJb ~(,i U 5-/; I rrift .
Phone No
Permit No
Sewer Excav
Other
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By
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RESTORATION REQUIRED
YES K NO
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A i S
~ H,
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
~ Asphalt 0 PCC
Work Order #
:g( COMPLETE
o INCOMPLETE
o Other
D Repaired by City
o Repaired by Permittee
o No Damage Found
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IConl;n"e on 'eve'se s;de ;1 neeessa,.) STREET SUPERINTENDENT
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