HomeMy WebLinkAbout226 Del Guzzi Dr - Engineering
I
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
Date 1" 7-D--5
/ t\' t'd rim Received by (phone, person)
;,29-& ~j Gu.:ce;, 'Ut2i ~0
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit NO~ ~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Oth~ ~.~ ':J
INSPECTION NOTES.- / Jf/)
Inspected Dete 'Y -0,- '" , Time 4, b () f'p By ~
Remarks Wa+~ r ~"C(I/lc...e t<,,'€.h10I/CI) ~rtJJ11 ~'Zt-'1 .J)e/ ({,"~7/' tJYI
Time
RESTORATION REQUIRED . .. .. YES~ NO
.
fs:r9
~
Dr"'
SURFACE RESTORATION:
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
I
3.0 Jf
137'
HIj ran r
~ Asphalt 0 PCC ~Other ~,1J 5 0 I I
W?rk Order # 3()~3~- J.13
l'iI COMPLETE ('~ ~~'\a\t-e..o\ W \ 'tt,
o INCOMPLETE \-ld 1M, Y ~ - \ b-05
vJ(O v~ ( (-)3 F4-1 -~f~
(Continue on reverse side if necessary)
(DATE)
STREET SUPERINTENDENT
I
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . , .
REQUEST'
Date 1" 7-D-5
/ C' ,~t'd rl11IJ Received by {phone, person
;29-~ ~l G:n.{_e~ '~tZi~-0
Time
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit N~ ~
Sewer Foundation Framing Chimney Plumbing Final Sewer EXc~v Oth~ C ~ ~
INSPECTION NOTES' / jf!)
Inspected Date 'Y -0,- '" " Time 4 i b () f"p BY'~ '
Remarks. W q +~ I .';0(: (I{ Ie. -e J<. ~h( 01/ q ) ~;IJ '"1. _(, 'Zt' 9 . In", I [) r: ,
~. ~
.~~.. .
RESTORATION REQUIRED . . . , " YES ~
I
~.
f S:t:I- 9
Dr"'
- SURFACE RESTORATION:
SURFACE TYPE. 0 Unimproved 0 Gravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
NO
I
3. D Jt
137'
HIj
~ Asphalt 0 PCC ~Other ~,r), 5 0 ~ /
W?rk Order # 3 ()~ 3 ~ - ).13 '-( Ii <0
l[] COMPLETE ('tt.\ ~~a\J'-eo\ W \ 't~
o INCOMPLETE \-ldT'M,y <6--( b-(jS
vJ(O vi { (-)3 F4-( ~f~
(Continue on reverse side if nAClfulRarvl
...~....-... "". ........a.~......._.._
''''''A'''e,
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . , . .
REQUEST
Date 1" '}-('I s
Time
/ t','t'drlrJlt Received by (phone, person)
;J~& ~ ( bu.:e.-e-t --~2( ~C
Phone No
Permit NO~~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Oth~ C.~~ ~
::'::~~:I~:t:OTES 'Y ~'\- c, , Time '-I, 70 b r--- _By d/!) .
Remarks U)a.f~ r- ~"C("lCe t<-e/rlO(/q) C0J11 PS'i:t'9 [le/0(.I271 [)11
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
RESTORATION REQUIRED
YES ~
.
NO
~
[f.5,~ 9
0,-
i
3, l) d f
J 37'
HIj ran r
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
D Repaired by City
[] Repaired by Permittee
D No Damage Found
~Asphalt 0 PCC [2g0ther~p :; (" I I
Work Order # 3().33~- ~ 1.3
o COMPLETE
o INCOMPLETE
fj S+YOe~ 8"117/ DS IF
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)