HomeMy WebLinkAbout132 Old Joe Rd - Engineering
.'
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
.. . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
~EQUEST: " , old- J c/'e-
Date I,:), i;<q--O'-( Time ;;2; 3 u f rn Received by (phone, person)
Li I )t)-- ~~~ ~ f}L r') /./-
Location of Work to be inspected /If (OJ{ / '? ')' .5 to (j f 010 Ji)e ,e!. CY1 l/~We 'jeJ
Name of person requesting inspection (A "/ot f t? / f); i/
Address of person requesting inspection /703 so J5 Sl Phone No. (// ?.Jf"i'I'l
Type of Inspection (circle appropriate one): Permit No. tJ4- //1/5
Sewer Foundation Framing Chimney Plumbing, Final Sewer Excav.~ &<.-/a.f'l?~
INSPECTION NOTES:
Inspected: Date /}.-d ~- 0<:( Time
Remarks:
, ~/ ~\f~/ ~<9/l/1c-e
~('lJ, \ ~ Ik)Y Iv\ c,1l' ('-,lA~~
'f-,I x It')' "'+ ~fxJ.,ll '
J),' SO IP"'^- By 7/7
I
c9'Y /0,' G'-'~n. t:isOialr
c.7 I r
r- 040'5r,? 7,08
RESTORATION REQUIRED . . . . .. YES NO
vtD JOf' t2~
A'
110
J"
~ v
0
-L.
-
(t:.
,
~ III
l)..- ~
"
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel ftAsPhalt 0 pcc 0 Other
o Repaired by City WorklOrder # /1705 - 01 7 6~a\Ql tf \
o Repaired by Permittee Izj COMPLETE AteA te~a..' ~
o No Damage Found 0 INCOMPLETE IN i -tV\, H Ol!'" M, II
~-7-- as 11<
.
/r; c9reef-
J J
Ilo!3/~ -Jr
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
/
REQUEST
Date (.... - zl?-c,<1
Time
Received by
(phone, person)
Location of Work to be inspected Old .JOe QJ
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Phone No
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date
Remarks
Time
By
RESTORATION REQUIRED YES
.~~ l
..::.::;":::)
~"
\..lJ 3 " Pil'e
"--0--_' ,.-----__'w_-,___
NO X
Vb;)~\t A sseOl-\.
43'
~
5&fO'
~
-z,"v ~hJt
~ 4'-....t aK.d Ca.p
'"
OLD Jo(? RJ.
~
-<..
---
~
~
()
,,'d z if 6o..hl
ft8) -
O~~~~lf
SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel D Asphalt 0 PCC
D Other
D Repaired by City
[] Repaired by Permittee
CI No Damage Found
Work Order #
p:I COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)