HomeMy WebLinkAbout601 S Chambers St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date tj-~6 -OS
Time / / (~/V ;fP1 Received by 71 7
L: _.:-:1
(phone~
Location of Work to be inspected ;:;0/ l<)O c:-kA7,kf'5
Name of person requesting inspection (#eq]er 0,[/
Address of person requesting inspection J 70' 5' S <:) t.?
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
Phone No. (II j-C/<6lfc;
Permit No
Sewer Excav ~i(..-t./c-<- r'"'L ,/'
INSPECTION NOTES'
Inspected Date L( -d-6 uS-
Remarks.
d't cJ ~,,A
Time /;;2; uD f/'fY/ By ')17
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b/ee-Lk r-e~Ci//e d (."1//11 55 /e~d ~~L
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RESTORATION REQUIRED . . . . .. YES Y NO
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SURFACE RESTORATION:
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt OPCC ~Other To; -50"/
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Work Order # Jo:~ <(~ -0,5(/
r
o COMPLETE
~ INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)