HomeMy WebLinkAbout800 Caroline St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
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REQUEST
Date II - I 4- 0<;)
Time 7 AM
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Received by .<: 11 ~ IS r-
(phone, person)
Location of Work to be inspected <~O() hi k ~rol i vl<-.
Name of person requesting inspection fJerl viI S C.
Address of person requesting inspection G, /'fJ Yo...r-d 17 q B Phone No '-I (7 -tJ '(5cfCj
Type of Inspection (circle appropriate one) Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Oth~J;::+0
INSPECTION NOTES
Inspected Date / ( - ~o- 0 c.i Time .3 30 P Nt By O.e r1. 11\ I S L
Remarks /(e.yte...v 2." ~eJllctV\IZe.d 2' J1..1.~jl1. I-t),+~ 2." 'Sc.t-! 80 PvL t'liJe.
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RESTORATION REQUIRED
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SURFACE RESTORATION lose'x z:
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SURFACE TYPE D Unimproved D Gravel gj Asphalt D PCC D Other
D Repaired by City Work Order # '-155"3 -00 i ,
[] Repaired by Permittee ~ COMPLETE /~ 3 tllO 5 - /
D No Damage Found 0 INCOMPLETE
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(Continue on reverse side if necessary) ST~EET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT . . . . . .
REQUEST
Date ff - 30 05
Time
Received by
(phone, person)
QOt:>
Location of Work to be inspected 0
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney
B i k. Cc\. or ,> I . V\....L.
Phone No
Permit No
Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date Time By
Remarks A~jJtlc...lf t--~\.+c.jl(:", S he eJed '+D"- 2." MA./"l reY\<2.k.J<'-./
I
'T~e 'T'fe<..+ CrO"" <<",J L driVc.IN'{,- 5 irL.,'er<( 112.t--t
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au +- +O'f c:t ~ J "'-oJ +
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RESTORATION REQUIRED
YES
NO
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SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel
D Repaired by City
[] Repaired by Permittee
o No Damage Found
1\ /f- ,5>0,- 06-
o Asphalt 0 PCC 0 Other
Work Order # 15' 5'~ 3 - DO I
lei COMPLETE I"'e 3 4 () Lf 7 -/
o INCOMPLETE 'I l.Jtr (~ (
r J J ~
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)