HomeMy WebLinkAbout1815 Marine Dr - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
o c..u - 2.-000--/80-0
REQUEST
Date 3 - It;- D (
.....
Received by
! 16/n~,[)0-
location of Work to be inspected Edl''-- oolc d. T)(CI.:S~otJ'^- M.'l
Name of person requesting inspection De 1'\11.' ':. E..
Address of person requesting inspection /7-0 of- B Corp 'I"rd
Type of Inspection (circle appropriate one)
Time
(phone, person)
Phone No
Sewer Foundation Framing
Chimney
Permit No
Plumbing Final Sewer Excav Other ~~
/'/.=- Co 7&&JY F 3g"8996/cf
Z/'.::=.. c: ~:UJ/ FCJ75'l3cf?cf
INSPECTION NOTES
Inspected Date Time By
Remarks ~f <5" A C. wdt. 2" -r~f -i.,. 1"--'-'5"-+'o,^- ",,,d
OwLe - t I L U.se. +0 r- Vi.::z Sko...J.&\. ~ C<.d Uc, e vS ,
l t'I 1a.fJ .(0 r
,
-
~
f;Jo ~/~t-f c..vfs
I
~
1- 4- x: -S-)
, ~
I - /2 x 3
~
RESTORA TION REQUIRED
. YES X
NO
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved o Gravel ~Asphalt OPCC
~
Yo-
U 17- HDok ~-
RJ
/
I
t i--- i __ ' Ju.-
t: f ytVt :- 0-- ~ V-Y .
J" v{ D,~ ....r( I c..--.l.-
.{" 0 ()>0.
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Other
. -rot' Soit <Jork is do>1...'--- a",-d
bObJ c-~ C) Wc:t-f' v -P-'Co~'Li- -rv- l
ICon"nue on 'everse side ;f necessary) - ~ 3 _ /6 -6/ STREET SUPERINTENDENT IDA TE)
Work Order # I gOo
cg/COMPlETE
o INCOMPLETE