HomeMy WebLinkAbout1017 W 11th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . /.
REQUEST
Date ;t - A. 'L - 15 / Time 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)
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Permit No
Final Sewer Excav Other LAJ e''( .l:-e~
Sewer Foundation Framing Chimney Plumbing
INSPECTION NOTES
Inspected Date - J
Remarks ~
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RESTORA TION REQUIRED
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YES V NO ~
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Repaired by City
CJ Repaired by Permittee
o No Damage Found
Work Order #
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o COMPLETE
o INCOMPLETE
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STREET SUPERINTENDENT
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