HomeMy WebLinkAbout309 S Washington St - Engineering
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CITY OF PORT ANGELES /41-13,
DEPARTME~T OF PUBLIC WORKS //
. . . "' . . . . . . . INSPECTION REPORT. . . . . . . . . . .//
REQUEST
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.
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)
20
q 51 WA-SA
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Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other W ~
INSPECTION NOTES
Inspected
Remarks
Date Time
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By
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RESTORATION REQUIRED
. YES
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC 0 Other
D Repaired by City Wo~ Order # ~ / { n
[] Repaired by Permittee [0" COMPLETE
[] No Damage Found 0 INCOMPLETE
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STREET SUPERINTENDENT
(DATE)