HomeMy WebLinkAbout603 Milwaukee Dr - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
REQUEST
Date
1/?iJJOJ
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)
Sewer Foundation Framing Chimney
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Phone No
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Permit No
Plumbing Finewer E~ther
INSPECTION NOTES L
Inspected Date r;?' ~ / 0 1- Time
Remarks
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RESTORATION REQUIRED
YES
NO )(
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SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel D Asphalt D PCC
D Other
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)