HomeMy WebLinkAbout1316 Caroline St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
tirE uJf- 740z..,
REQU~T .~
. .- 1-- 0 .
Date
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
J 3)6 (~c^-~r () 1 J )v/<- 7-} ~
-r1...u \ . \ L~ 1?n '
J -r -411 i; I> Phone No
.
Permit No 03~31:fl
Plumbing Final Sewer Excav Other LJ-JCA...Ht!/"
INSPECTION NOTES
Inspected Date
Remarks
Tim,_ By
~1/).J )\~ II JJ....e eu
L,LXC -t-e-+- S -f? YU I' C-~
j X' c;- /g
~/
J 1)1
to\ - ~
,,, ( C ~ J" u I /N e
"'7 7.(
~
(-~
\
I ,
J-'7
RESTORATION REQUIRED
YES
~--
V
NO
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
o PCC 0 Other
Workj;!YJer # :7 V {5 '"1-
~OMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT Of PUBLIC WORKS
. . . . INSPECTION REPORT . . . . . .
Received by
/3/0
Location of Work to be inspected /~/lJ -/c3/f; '-(/~--V7~' L
Name of person requesting inspection B t24.L/ 11/~~
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbin~wer Excav Other
.....
REQUEST
Date /0 /; ~-!o3
f
Time
(phone, person)
INSPECTION NOTES
Inspected Date
Remarks
.0- /12
D 3 Time
(\ ......-.,--
j 0"" \ j I (' i t:.._
P/1
1'1
By ~(..)-..tl.
RESTORATION REQUIRED
YES X NO
,
;1 "re~
!
i 1314
o.rL
~,~ .~,-7
l'. K ,<
.}-/ ,,-'
r i'\?
'I.f JtLI1fL .,ye
,-.
~r.' - to · <l , ~ .J" <<'\
"I'
f- __ ,,_
oS .J
~~ f" _ A ej ('0-": - '\
r \..-,t~ t t 8""""1/\ r (- -of If' ",t p!?
~ ------- , - ~ ~ ' !' 6J
'-=::r- --- ... ;;.;. ....... ------~r
~\ ;)51
!
j
I
131D \ <.'
Jl
,
'---
-t-
'--
" l
l
-2 I
- I
-..1
13ft-
1 "c. 0
t,
j... ;
___.u_ c'
{\'
."2-0
L--
,).0 ~~c-
t.l
".
'l~'t- (,ro' '"
t' ~-. {""J( , s -I ./ ~.,' '" (.
- -.------
--- J.I'd~ f'
,
"
,
"'-"""'-'--'''_-''''-">.;.'_;~6'__'._~',___,,____'''_''''~>
--------v:-I
SURFACE RESTORATION (lOX /5)
SURFACE TYPE 0 Unimproved 0 Gravel IKJ Asphalt 0 PCC
[] Repaired by City
[] Repaired by Permittee
[] No Damage Found
~1iJlred
o Other
Work Order #
P5 COMPLETE
o INCOMPLETE
~ -t-~\~ \).Hi-~
t-\O'\ ~A\ '( l ()- )1- O~~
:~
~\\~ 0 \olibb tt-eX) I
STREET SUPERINTENDENT (DA TE)
~j;IJ!o7
(Continue on reverse side if necessary)
APPLICATION FOR WATER
City Water Department
Port Angeles, Wash. 7-~'I- 03
I hereby apply fOr water to be furnished in accordance with rates and rules of the City
for the foUowing premises
j5 r t7 if /1/''1'/1 ~ &YP er >
l~lf.., (';tft.ro!/J--. €- 3T . ':
a tl;U-7S,~~
Renewal 0 NewServi~Ik-+-- Lot_ Add ~ . -*6
~ ~
Size of Se,.k . . I Met~ N"mbe, R~.' .. . .. .... .
. - /).
In"olled by 1#1<1 I Y5",4'{:.""1~6e CrfX ;~ .. ~
Remarks. 7er~/T'1; 70 N 6' ~99~
~ee-~ ( ~~
yYl
~~~ nJd
I -~?~
I .
I
1
I N_ of Appll<ont
Address
w
~
." /-OJ
~~
~
~
Hrc UP 7 <f() 2-
tl!~
N
c~~ )J)J~ S+E
s