HomeMy WebLinkAbout1200 Blk S D St - Engineering
CITY OF PORT ANGELES lJ,;W 100'1- /50'd-
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . .. .....
REQUEST:
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Time
Received by
(phone, person)
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Location of Work to be inspected .
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
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Sewer Foundation Framing Chimney Plumbing
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INSPECTION NOTES:
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Final Sewer Excav.
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Phone No.
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Other
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Inspecte~~
Remarks: 'J'co,.J
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RESTORATION REQUIRED. . . . .. YES NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
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CITY OF PO ANGELES AERIAL
GRID SHEET -10. DA TE 0P5PHOTOG
3/25/95.
PPING
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EXISTING 8"0 PVC
LPSD E FROM PROPO~ED
LIFT TATION WEST OF
ST ENS MIDDLE SCHOOL
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