HomeMy WebLinkAbout17th & C St NE - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date q - / - 0 L/
Time / / ~c;rz) Am Received by 7/7
(phone, person)
Location of Work to be inspected /7("- -I C <;T /t/ E CuNl -e .--
Name of person requesting inspection /~;;; fer Ct(/15~/1 '"
Address of person requ\lsting inspection /71'-- if l\ Sf , Phone No. LI/? - '/8'5'S-
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ i.-JC<..r-e or-
INSPECTION NOTES:
Inspected: Date q -(- 0-/ Time / j'. crzJ /-J ~"\ By 7 I 7
Remarks: L"t I..r IJ/u. rz::d'fo",,'" ~ 6 \ {).(! ,J" cJ J1;p7e1k. T ~~ j4::c;>~~c.I-/v '
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RESTORATION REQ JIRED . . . . .. YES Y NO I
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel lfAsPhalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
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