HomeMy WebLinkAbout1340 E 8th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
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REQUEST
Date 8'.. / - 0 (j
Time
Received by
(phone, person)
Location of Work to be inspected I =J 'fOE '87A
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
Phone No
Permit No
Sewer Excav
Other
#J 0, #-/~S'i
INSPECTION NOTES
<( 1- 0-0
Inspected
Remarks
Date
Time
By
RESTORATION REQUIRED
YES / NO
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13q 0 E 87A
~'3'
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8.' Cone
,
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5: S .,
Ref6-,red "",ft, {,' "b &," plJ' P'IJe
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt
OPCC
Work Order #
o Other
I ro5~
o Repaired by City
CJ Repaired by Permittee
o No Damage Found
~ COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
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