HomeMy WebLinkAbout4th & Peabody NE - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . ... -: . . . . INSPECTION REPORT. . . . . . . .. . .
REQUEST:
Date c:'-(Ji-D~
Location of Work to be inspected if'!: Cf- leC/bcJv
Name of person requesting inspection Oe1ln 1-5 E ~
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
Time
71#1
() -;:
Received by 1/<: 11y/ /3 -.
(phone. person)
/1/ E Co rite..
Phone No. '-//7-'18'19
Permit N~
Sewer Excav. Other"-..W<<:f-0
INSPECTION NOTES:
Inspected: Date
Remarks: Re-.o&;.c-e
,
Time
Z torr ^'ydrCiY1.+
lAjifL
By
a Mew
.oS fJorrt t\\/drAvrt-.
I I
RESTORATION REQUIRED . . . . .. YES X
o Repaired by City Work Order # "
o Repaired by Permittee .~ COMPLETE A~~ otG0i"\.o
o No Damage Found 0 INCOMPLETE 0.1-.\0 AS&::>V'\Cl\ '" .
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FAST '-I ~ :51'.
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel
NO
~
'-.
3z x,'-ft.
~Asphalt 0 PCC
3/ o.
DOther CJr0
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