HomeMy WebLinkAbout420 Orcas Ave - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date '8' - d- c:, - 0 c-
Time
II:OOAk.
TF
7'-20 E uK(1~
Y<)4~ t1/114c;;h -'
I;:? Phone No: ~-7-i?6<
Permit No.
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 Plumbing Final Sewer Excav. Other
~ IjJ 5~U
INS ECTION NOTES:
Inspected: Date ~ - .;2(, -6 S Time II: /5 P..... By ~~
D. 1/ I '1
Remarks:-L.J t.(.C(l 1.../ C.CK\~v"H"'''- S '" Gc>"'~ L,'.., ~ 0...., f,,"of-e.-... t
RESTORATION REQUiRED...... YES NO 0(
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC 0 Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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