HomeMy WebLinkAbout1115 E 8th St - Engineering
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CITY OF ~.ORT ANGELES
DEPARTMENT OF. PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
. ~ (-?
REQUEST
Date 1- )t:! -- {, z>
Time
Received by
(phone, person)
Location of Work to be inspected I / "'~;-- /:-- f +/1
Name of person requesting inspection II ...~) 1 [I (c '/'
Address of person requesting inspection / 1 (-Ii t- /~ Phone No
/"
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ~f~~
INSPECTION NOTES
Inspected Date
Remarks
p- I~'C- I/~_
/
RESTORATION REQUIRED
YES Lr'// NO
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
o Asphalt ~/ 0 Other
Work Order # --b 7 2-
~ COMPLETE>.21-OI f)-tV
o INCOMPLETE PI#-
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STREET SUPERINTENDENT
(DATE)
City of Port Angeles
Public Works Department
Water Distribution Repair Report
~ .. '2. fo (- , "1 r- 2..
IWork Order No:
1777-
I Crew:
7/(/
Reported: L/ l!::J _2..../
Repaired: 1J &/ -.!::.... (
Condition. Emergency Routine
Source. Citizen Complaint V--
Leakage Survey _ Other
Repair Location:
Address
)II~-
i
E- <6f/1
Lac Description.
Component Repaired:
Main Line ID#:
/
Main:
Joint
Long. Break_
Cir Break ~
Hole
Split Bell _
Clamp _
Other
Service:
Line Valve:
Hydrant:
Other:
Tap_
Flange Nuts, Bolts
Branch
Corp Stop_
Pipe _
Stem
Barrel
Curb Stop _
Bonnet
Valve
Dresser ~
Other ;l. <<<< (;7(/ CO ?> )9~--
Repair Type: Clamp _
Site Condition: Surface
Curb
Damage:
Cuts: Street Cut: Ft.
Gravel Roa4way _ Asphalt Street _ Sidewalk ~.
Top Soil Area _ Soil Type _
Curb Cut: Ft.
Sidewalk Cut: Ft.
Main Condition:
"., .' J?) /
Diameter' Inches ~ I V C__
Material
Depth of Cover' Ft.
Internal Lining
,.
Joint Type:
External Prot:
Tuberculation. N/ A
External Corrosion. N/A
Special Conditions. Bedding:
Other Structures.
Minor
Localized
Severe
Extensive
Water Off,
IJ I ")oJ J.. 1-7
Pipe Section_ Coupon_ /b i'/v_____
From ~I J /) I C' b To ~ M /J C Ii L. U ;'....(:'1. 7y- (
From ) lID I ,., n To ~;;rM -1-- 2 11
-L- - -..........- --L..1...JL D t.) , \ v ~
S:-c-f/-le i- c YCCCt( k-
Samples Taken.
Apparent Cause of Leak:
5/19/98
Page 1
PW-902.09
Date
CITY OF PORT ANGELES
DEPARTMENT O,ffPUBLIC WORKS
,-
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
Received ~
Time
(phone, person)
REQUEST
Location of Work to be inspected ---LLI S" E. 5\ ~ ~ +.-~ ""'- .{.
Name of person requesting inspection GlJ Q ~ JJ-ep+--..
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
Phone No
Permit No
INSPECTION NOTES
Inspected
Remarks
Date Time By
12 e LJaly--' f3/'Q I:.--e,.., S,d e c.c,...1d- (^- iA 12..-...... A.
. I
Gk~~~ DC-0. ~ (7S'Ol- ,'to'2-
RESTORATION REQUIRED . . . .. YES NO
r-- 0 t-L
'I I 1St: ()
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C-</,4h,e.
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(h,\, POVl T'" I
,
IS ot
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I 111 S
A/x g 2
p /lrv-c I C v" Ac; k<
l2 -e pi 1'"1e ~
D Repaired by City
D Repaired by Permittee
D No Damage Found
o Other
SURFACE RESTORATION:
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt
Work d #
~ COMPLETE 'Se"'~\ ~~\~ ~e..{)~Ovce..c&
o INCOMPLETE \ 0 - '1- \) '2
'\Ie
... ,
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STREET SUPERINTENDENT
(DATE)