HomeMy WebLinkAbout916 S Race St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST
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Time
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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)
Sewer Foundation Framing Chimney Plumbing
1/ 6 ,5 /(C( C ~
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11-t1t ~ 13 Phone No
Permit No
Final Sewer Excav Other ~
Time
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INSPECTION NOTES'
Inspected
Remarks
Date
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By
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RESTORATION REQ RED.. ... YES V NO
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel ~It 0 pcc 0 Other
o Repaired by City Work Order # J ~ S-
O Repaired by Permittee S-7-(){ ~ COMPLETE' ~ ?--O () 7
o No Damage Found MIt 0 INCOMPLETE
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STREET SUPERINTENDENT
(DATE)