HomeMy WebLinkAbout5th & Penn St - Engineering
""
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUESY'7
Date 8 -11ft -0'1' Time 7 A"'-'- Received by "[;(zUff(S G:. (phone, person)
, ~.
i.....
..
-tl<
Location of Work to be inspected 5 -I- Pei1V1.
Name of person requesting inspection [)e i1 O"/"S E.
Address of person requesting inspection 6r(J y,,-rd
Type of Inspection (circle appropriate one): I
N. E Co rKer
n-t~8. Phone No. 'f17-lf8y9
Permit No. ~)\
Sewer Excav. Othe..c+~
Sewer Foundation Framing Chimney Plumbing Final
INSPECTION NOTES:
Inspected: Date <;? - / 7... - c) '-f Time ( ( t4.M .
Remarks: 4+ h,l) c." AL ~(~ Cif/td IttS-f-,d1
rl<e",^-ove! orcf z. {jor-t Hydr",-"":i.
I
By Ve..,,,,.s E-
ft. e-L<J ic.t/d r" vet
t
RESTORATION REQUIRED . . . . .. YES
NO ><
0"
.?1 t:!1 00
~}
" ~
\9'
::r-
~\
rl
...--
t:..
lk
5'-
~3'1-1
, -
01<2 Hiefr~'(I.t I
Ab".,)o,,~J i.... ~,,~~
cu+ "ff 18" belo.J
~r"u",J !e.ve.!*
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel
D Repaired by City
o Repaired by Permittee
o No Damage Found "
D Asphalt D PCC D Other
Work Order # 1<1 z.. 7q -05'3
D COMPLETE
D INCOMPLETE
l~ontinup. on rAVfUSp. sirlp. if nAc:p.ss;uvl