HomeMy WebLinkAbout531 1/2 Whidby Ave - Engineering
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CITY OF PORT ANGELFS
DEPARTMENT OF PUBLI~ \^'CRKS
. . . . . . . . . INSPECTIO~ REPORT. . . . . . . . . . .
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REQUEST.
Date 7 - .I?? -- Jl J _ l1me
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Recelye-:t by Wtf - ("'F _(phone. person I
location of Work to be In,pected 5 J I Y'l- Lv J) . d t y
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Name of person reque'tlng 'n.pectlon -;- w' I COY
Addre., of perler, reque'tlng In.pectlon I ""1 I/;. !'!r- t3 rhone No.__
Tvpe of IlIspectlon (circle app.->prlate olle) Permit No ') (18 t
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Sewer FounA-~lon Framing Chimney Plumbing Final Sewer Excay Other.!.:::!:!:..
INSPECTION NOTES
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Inspected: Date --.L- "/ Time
Remark,: ::J'A/ Sf.l'1 I 1f'-f"~.J ~t(/. L.~
By T' C-u / 7 c..- dy
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RESTORATION R&QUIRED.
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\~'~'SURFACE RESTORATION
," ".'SVRFACElYPE: 0 Unimproved OOrayel
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o Repaired by City
D Repaired by Permittee
D No Damage Found
o Asphalt 0 PCC ~ther 7~ $ ~ I'L:.. (
Work Order" ~ 1 ;J j ;
o COMPLETE '
~MPLETE i"
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