HomeMy WebLinkAbout6th & Laurel SW - Building
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . .. .. . . . . . . .
REQUEST:
Date ~ - (.; ~()GI
Time
/ ? ; &7V f;Yl Received by
(phone. person)
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 ~~ Final
6 r"- 1,LClJr<-1 S W corM r
CJafet" lJw:,s ;;;""
17 r" tJ 13
Phone No. (117 ~ 'I fl6/>-
Permit No.
Sewer Excav. Other
INSPECTION NOTES:
Time
By
15r"i ~Y1 .(;/,e lIyd~Fl/I !1[5l-hdf--uo..l"1ti f-IyJfli~/-
-
RESTORATION REQUIRED . . . . .. YES Y NO
t- ,,-,/f e., I / ;f
Gr>- /"/fJ
It
.-rs' )
( l" -
W
-----
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
% Asphalt 0 PCC.=10ther L--+-~L
Work Order # J tlS-I'I -005-
[] COMPLETE
o INCOMPLETE
/r; Sired 5/;101'~
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