HomeMy WebLinkAbout108 S Lincoln St - Engineering
,~ CITY OF PORT ANGELES
, DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date c.; ~ 20 -05 Time 1{:00 /!.?v, Received by VeVrt., s L. (phone. person)
Location of Work to be inspected 108 :50,
Name of person requesting inspection Devtvt. s
Address of person requesting inspection (flV jO
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Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
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Phone No. 1-( 7 - <(rife;
Permit No. ~
Sewer Excav. Othere I)
INSPECTION NOTES:
Inspected: Date (0 - "2-0 - O~ Time /2 I"Iv{ By
Remarks: f!e,tJ(u...cei Z" r.>",61 .$o...JJIe.., CDr.LJ. ,tJlviL /{f/td VlA.IlTev-
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RESTORATION REQUIRED. . . . .. YES X' NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimpro,ved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
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o Asphalt 0 PCC ~ther Cov<.c..re.-re..
Work Order # 5D3 Lf.(, -OVa, '-i x. tf
M COMPLETE At-eA. Q.~~~ ~~
o INCOMPLETE ~ \ 1:::.. 1- \"5-~
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