HomeMy WebLinkAbout215 S Lincoln St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT . . . . . .
D t.u - ';2..()O 7--1808
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REQUEST
Date ; - ;)- C - 0- I
Time
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Received by
PPf'L i
(phone, person)
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Location of Work to be inspected ) I .!> S, L /1'1/ C v t.. N
Name of person requesting inspection P (/ Y L cZ
Address of person requesting inspection I 7.;;r4 y- /)
Type of Inspection (circle appropriate one)
Phone No
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
I d Date 7 ~ ":J. G ?'/
nspecte L (7
Remarks f'i/ r P ~ E J'S E ~
Time Y }/ /:~
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VIV ~ e /9 .J'r
By ~ /it'Y
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RESTORATION REQUIRED
YES i.-/" NO
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
G:HNCOMPLETE
o Other
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(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)