HomeMy WebLinkAbout10/11 Alley Eunice & Francis - Engineering
CITY OF PORT ANGELES
~ DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date },~ -I;J-.. - a '? Time Received by (phone, person)
I
Location of Work to be inspected /0--/ L-iU/-ey CU)..JI'(-f' +~ FVc:t11Ci'5
Name of person requesting inspection T tAl .. \ CO 'f
Address of person requesting inspection / 1 +" ~(J Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other U...J?J\.-l-t-/i/
INSPECTION NOTES:
Inspected: Date
Rem~el
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Lu (/\. 'v-
Time By
W~ cm~~
<;-eYU Uf ;:::'v,r)
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RESTORATION REQUIRED. . . . .. YES
P ~/ )V +
OIU
+h - 5
i- CJrI-etA.. S u),-- f'~ J1 +.5"
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SURFACE RESTORATION: /
SURFACE TYPE: 0 Unimproved 0 Gravel Q1(sphalt 0 PCC). I 0 Other
/~? 0 Repaired by City Work Order # 66 '8' ~ l.?:Jcro ~
/I 0 JI ~ 0 Repaired by Permittee Li COMPLETE A \l Ou'€.s;!.\."S t-~ I'
I "'b ./ ~ 0 No Damage Found 0 INCOMPLETE "",Ii, \ \- 7.~ -0,
13 (~O() ~ lr_lIiI/-e ( r4-e ~b-ry ~, a'; ( ~ U ts-
(Continue on reverse sid_e-!t."ecessarvl ___ '____ I STREET SUPERINTENDENT (DATE)
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