HomeMy WebLinkAbout1922 W 7th St - Engineering CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date '-7 - (~) - (~)'~-- Time Received by '~ ~ (phone, person)
Location of Work to be inspected / ~:} ~ ~- ~ ~ J~ ~'~-
Name of person requesting inspection ~'~'(:~'~-~'% ~. ';~ ~ ;<; ~ ~ ~
Address of person requesting inspection Phone No,
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date "~ -- I l ~ O ~ Time_ By /~ ¥/
Remarks: ~ v--~
RESTORATION REQUIRED ...... YES NO
;URFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE)