HomeMy WebLinkAbout2505 S. Washington St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
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REQUEST
Date 6 ,- t'9-u >-
Time Z 5D
I'M Received by De: vLvl l '7
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(phone, person)
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Location of Work to be inspected Z 5" O~ ~ LU""--c? It '^-.j1o V'-
Name of person requesting inspection YCVLlI\.l s E
Address of person requesting inspection L..e:> rp yJ Do...- r J.
Type of Inspection (circle appropriate one)
Phone No
Sewer Foundation Framing
Chimney Plumbing Final
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Sewer Excav her tJ"" ,,:- ')
INSPECTION NOTES
Inspected Date <6- (5'- 0 ~? Time Z SO By Vevvtf s E
Remarks ;<e,t1(a..~ flldra.,/\.A. +ed by t(rr t ead NU<J HyJVA.Vl.:t /5 4- US'\
across -fL<: S+~ee. t- +<:rDvv\ olJ h'1dr~v,-t.
RESTORATION REQUIRED
YES X. NO
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
D Repaired by City
[] Repaired by Permittee
D No Damage Found
o Asphalt 0 PCC
Work Order # bGO{",
o COMPLETE
o INCOMPLETE
o Other 76v1S-6 ,- I
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STREET SUPERINTENDENT
(DATE)