HomeMy WebLinkAbout116 Viewcrest Ave - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: .
Date 2, 7 - 0 5"
Time
7 /1M
Received by 0(.>'1'" ,'S
r . (phone. person)
Location of Work to be inspected I (Co VI ewer ~ s + A i/ e.- .
Name of person requesting inspection {)e VI.'1 ,. s F.
Address of person requesting inspection (';},{) lI",r.! no{- i3 Phone No.
,
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other lII.)c)~+~-r
INSPECTION NOTES:
Inspected: Date '2.. ,.1 --05
Remarks: Rf2{) Ic~c-e $ervlGE.
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Time /I f/w- By Oe'1Y11 S E-
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RESTORATION REQUiRED...... YES ()( NO
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SURFACE RESTORATION: 3)( '=>
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC tzeOther CD.{C.r--e.-re...
o Repaired by City Work Order # So S 'f b - OD'8 ~ ') ~C:2. #- I
[] Repaired by Permittee . g COMPLETE A~~ R~l t~
, D N, ".m... ',"nd ~_ D INCOMPlETE 7. - ):S- O'S"
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(Continue on reverse side if necessary) _ CTDI:r=T t". ..................___.__u_
City of Port Angeles
Public Works Department
Water Distribution Repair Report
IWork Order No: 5034(, ---003
lerew: I ("J -+- CJL.U
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DATE REPORTED 2- -7 ~ 0"-
CONDITION ElvlERGENCY D ROUTINE D CITIZEN COMPLAINT p(
LEAKAGE SURVEY 0 OTHER D
DATEOFREPAlR 2-( -o~
TIME:
DA.M. OP.M.
REPAlRLOCATION ADDRESS: lito lhe...; c.r~..,.t- Ave.
TYPE OF MAIN:
A.G
5'
SIZE:
'8"
DEPTH OF MAIN:
CLOSEST VAL VE DEPTH:
( ,
5-z.
COMPONENT REPAIRED:
MAIN: JOINT D CJR. BREAK D SPLIT BELL D LONG BREAK D
HOLE D CLAMP D OTHER
SERVICE: TAP D CORP. STOP 0 PIPE)I[ CURB STOP 0 FITTING 0
lvlETER SETTER 0 lvlETER 0
Lil'lc VALVE: FLANGE NUTSIBOL TS 0 STEM 0 BONNET 0
HYDRANT: BRANCH 0 VALVE 0 BARREL 0
OTHER:
COMPONENTS OF REPAIR: CLAMPO DRESSERO OTHER 311.{ p.E. .'hA.JI~
SITE CONDITION: GRAVEL 0 ASPHALT 0 SIDEWALK X CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS: ASPHALT CUT _FT. CURB CUT _FT. SIDEWALK.3')(<o FT.
DRlVEW A Y CUT _FT.
MAIN COl'nJrTION: INTERNAL LINTNG TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORlNE RESIDUAL SAMPLE ;J IA PPM.
WATER OFF FROM
M.TO -
M.
FROM
M. TO
M.
APPARENT CAUSE OF LEAK: 0 {d
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