HomeMy WebLinkAbout6th & Laurel - Engineering
~~ CITY OF PORT ANGELES e,V-
~ ~;~,
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date I 2 - IS .- 05 Time 1;00 It1\\. Received by ~ (8 person)
Location of Work to be inspected t;,"K t L4lJ re, I
Name of person requesting inspection WCttLI" PI V-IS I DI'\
Address of person requesting inspection ;701.5. R st:
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
Phone No. YI1-t.{ R Y1
Permit No.
Sewer Excav. Other ~~
INSPECTION NOTES:
Inspected: Date i z. - i'O .. D Y;
Remarks: -(" Atl! It B re...k
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Time-OO - By
reptc,rnf w ii- 5'+""" less
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pe-';-lie...
Sled NP''1r hf<.M'(
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RESTORATION REQUIRED...... YES X NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
, ,
5x.7
~Asphalt OPCC OOther
Work Order # 303'-iJ." Ob""
lZI- COMPLETE 340'-\ I - I '2..12' (0"- "'k
~'INCOMPLETE
o Slv.f!p)- )0~70~tJ7ri/
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