HomeMy WebLinkAbout520 W 14th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT . . . . . .
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REQUEST
Date b ~,/.. I ~ c.) S-
Time <{, I c:.rv A-~ Received by ? 17
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location of Work to be inspected _
Name of person requesting inspection V d\.1-t:' .r au.
Address of person requesting inspection /)i/ -s c'S i':> I.? ;;7 Phone No 9/7 - S/~ 717
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav ~ c---~c:-k .r
INSPECTION NOTES
Inspected Date t - J. / ~ ~ -)
Remarks
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RESTORA TION REQUIRED . . .. YES X NO
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
D Repaired by City
CJ Repaired by Permittee
CI No Damage Found
o Asphalt 0 PCC I;xr Other
Work Order # So 33'7,/6 J
o COMPLETE
)8J INCOMPLETE
IDp S,), /
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STREET SUPERINTENDENT
(DATE)