HomeMy WebLinkAbout1313 W Lauridsen Blvd - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date /1 - 2'5 -0"
Time /0 : 30 A M Received by be....'" ,',> r;; (phone. person)
Location of Work to be inspected 13 I ~ iN, LA-J/< d s "VI. 6l Jd .
Name of person requesting inspection Dc.... "': c, if:.
Address of person requesting inspection G'f Ya...r4 {7-+ 8 Phone No. '-/. 11-l(8''l''t
Type of Inspection (circle appropriate one): Perm~ ',:; "
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~r ~6..+7
INSPECTION NOTES:
Inspected: Date l'l - z. 3 -0">
Remarks: t2e.tJc..,'( (" CoJlJ~e'/
GOy f' <; te,.1 . ' I
Time Z : 30 Pr.!1. By ve",,,,;o; €.
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RESTORATION REQUIRED . . . . .. YES
NO X-
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 305 L/" -08s-
o COMPLETE
o INCOMPLETE