HomeMy WebLinkAbout1748 E 4th St - Engineering
.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
.....
REQUEST
Date g- Z<:J - 05
Time 7 A 1M...
Received by I)ene-t/s E - (phone, person)
Location of Work to be inspected /7'18 E 'fT-b
Name of person requesting inspection .iJen", ; ~ E
Address of person requesting inspection ~ /' 11 Y CA-I"J
Type of Inspection (circle appropriate one) I
I 7 'f-15 Phone No t./-I 7 -If&> t.{ q
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other W4.-f-e r
INSPECTION NOTES
Inspected Date 8 - Z 5" ___ 0 S-
Remarks R.e~lC1..ced broke.V\. Ac.
6l q D ~ be~cl. Re't-A(J p eJ A c..
Time :3 '30 fM By f)..e./A vt I S.
Mq...i.V\. CU\.d ~ it Tr2. e. LV rrk D~ 1
-rD -fee d Z (r f!. II L
E
P//.Je ClKd
I I
RESTORATION REQUIRED .
YES
NO ~
rn
2 ~r fJvL
f 'f)
Z"i teef
~
\1
V\
~
J
\.3
~
--
<J
'j
fI,...
E 4 ;- 5f
See. De-tc....;} a. ff~Jt.eJ
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 30 >q3 -003
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
II
I,
, I
I
~Ir A-e-
~,C\- ...
or! sse r
/
Iolf 1/ <:.
R.e/a..f (- ,if re.o... - tJs;&A..C) D-1: Pi (Je)
!4-esSerS Cc..~4 a. '1oC
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 'S - Z - D l3
Time 7 11 v--..
Received by Oe.~",;<; ~ _ (phone. l1erson)
Location of Work to be inspected /7</8 E.
Name of person requesting inspection j)~......;,,:>
Address of person requesting inspection c:..;", CJ
I
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. O~"- ~ 7
'f-ff.
E.
Y,,-rc1
(7"1-8
Phone No. 'f.-t7 -'1-8'1'1
INSPECTION NOTES:
Inspected: Date 5"- Z- - 0 '8
Remarks: f2...~.....- re. J. Z"
Time (0 ;'1........
f? VoL-. /eo..k Ci-I
By ~.....",-.'c,
j (-<..Ie. ~ Ot "'-,
F
-.
RESTORATION REQUIRED . . . . .. YES
NO X
~
~ 6- b" AC- ~I'l'~ 2" ,,<le. ' .
zz:.
:::, P"cf
\S r- '-f-f-/.. ~:
t::. ;:t.
~ ('
b" Itc..
Q
'\) riJ 1,( ,A
\
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 303<{ Z- -/ '8':)
o COMPLETE
o INCOMPLETE