HomeMy WebLinkAbout200 E 13th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST
Date 4: - 0, -0 'f
Time 7 00 /t1lV1.. Received by U(...V\..V\.. ,..<; E (phone, person)
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Location of Work to be inspected
Name of person requesting inspection "Den"! t ~ G.-
Address of person requesting inspection Cc-v /J Y QVce
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Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other vJJe.r
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Phone No <f-(7"- 'f~t.f '1
INSPECTION NOTES
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Remarks Rel'~treJ I h colfer
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RESTORATION REQUIRED
YES
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)