HomeMy WebLinkAbout734 E 10th Alley - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . . . . . .
0'''/
REQUEST:
Date /1- (fo-05
Time 7 tI. tv(
Received by De <1;1 t 5 E. (phone, person) ,.,.
Location of Work to be inspected /~~r Arrel1- r-(tl.vt(i~ hR~d 7Jl..j 6" I~
Name of person requesting inspection _~"U1l5 _ .
Address of person requesting inspection Wr;iJ yi",J 11:fb.f.t5. Phone No. 4-17 - <t'iN.'1
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Othe~+0
INSPECTION NOTES:
Inspected: Date ({ - {(, - 0 5
Remarks: e" ,r Z" 1!.I/e. c..",v
Co..; I; ~ avul '0-12 (Zv'.L.
~
Z" Nt:.- "lue" .~~6~ .()
10/1 A Ifef ~
~ "'1'-\ /
J-- ~
\) i"-
f',
::t: -.
~ JI'
RESTORATION REQUIRED . . . . .. YES NO
;J o-t-~
'~e.. 0
SURFACE RESTORATION: '-/)( g
SU'RFACE TYPE: D Unimproved DGravel QSlAsphalt D PCC D Other
DRepaired by City Work Order # 303<iZ-.-o53
D Repaired by Permittee ~COMPLETE gK 3'+/05-1
o No Damage Found D INCOMPLETE
--r..o S'-trc.et D.t.f-t. .-r-lu€- is. ~15o . CA.. po.-+Lh. z'x'-f( c<.t
SITe. e."l.d o.f~ a.l k. .vle.V\. It' dne..~ out,
{Conti e on reverse side if nAC':ASSArv'
If"t..........r-P"'.......II....................................
,....~...