HomeMy WebLinkAbout716 E 6th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date s-- CJ - V :J"-
Time
0' /1
1 (crV /7 JhReceived by
/(7
(Phone~~i~
Location of Work to be inspected 716 E h T "-
Name of person requesting inspection &Jc,,-, t e r fA v '
Address of person requesting inspection /7u3 S R $1 Phone No. '/17- '1'f>Y7
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ L--Jc... T -e r
INSPECTION NOTES:
Inspected. Date <,- - ~ - (/ <:.)
Remarks:
Time Cj,"3 ~ 1P1 By 7/7
,,:).' /J1 t:j, "'- b I" ec:t ,
r e b'~d < !. (..(./, f?.
I
t",d c,,,.,le 55 /(!'~~/ 6~...,d
I
RESTORATION REQUIRED . . . . .. YES X NO
f
(~ J." c-~ w;.t
,9'0:- ~ .l '/:j-\ ~
1\
^
SURFACE RESTORATION:
SURFACE TYPE. D Unimproved o Gravel
D Repaired by City
D Repaired by Permittee
D No Damage Found
D Asphalt 0 PCC ~ Other /0/ 50//
Work Order # 303'1;' -03)
o COMPLETE
)sf INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)