HomeMy WebLinkAbout2nd & Race SE - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: 1/
Date '3.- 11--0 +- Time Received by (phone. person)
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Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
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1 7 k/l '6- r3 Phone No.
Permit No,
Sewer Excav, Other (/J a~
INSPECTION NOTES:
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Time
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Inspected: Date
Remarks:
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12, r-e'
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RESTORATION REQUIRED . . . . . . ES NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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