HomeMy WebLinkAbout815 E 7th St - Building
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT . . . . . .
REQUEST
Date 7- /L' U S'-
Time 15 J () AM... Received by 7 I 7
(PhOne,~
Location of Work to be inspected 9 / S~ I:: 7 r I.....
Name of person requesting inspection C\./,~. tEl"-- ;:;; 1./ ,
Address of person requesting inspection I 7 D <:.) c I. ~ 5 I Phone No (1/7 - '/ f)'15
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav @i c,--/ct,. !c~./
INSPECTION NOTES
Inspected Date q -/ t> c] 5-
Remarks
Time ,/c~.'( L #h'-l By 7/7
i:,~ -'- jJ) cf; "'-- 1'7/ cC/l.J
RESTORA TION REQUIRED . . . YES X NO
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... ._- 0.'._ .
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
...- .
o Asphalt OPCC ja'Other /CT SO, /
Work Order # ?o 5</;2 -cy~
~ COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)