HomeMy WebLinkAbout427 Viewcrest Ave - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . . . . .
REQUEST
Date 2- -i (p -t:; C;
Time
s~
Received by
TF- @, person)
Location of Work to be inspected "'1'Z- 7 () I €u.J "-'\reS 1 ._
Name of person requesting inspection S-l-ec>en S:- ~ rn \ ~
Address of person requesting inspection Phone No 7 - I '5 S 1
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
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INSPECTION NOTES
Date ,~II ?117 Time /0 ]If) By I<J
,
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{."."', I:
T
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)