HomeMy WebLinkAbout715 W 5th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
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Received by
(phone, person)
Location of Work to be inspected '1/ ~ W )-:--/11
Name of person requesting inspection ~~ I ~611Y
Address of person requesting inspection ~ _~_ --IT.... 12 Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other L~ d ~V
INSPECTION NOTES
Inspected
Remarks
Date
Time
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By
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R STORA TION REQUIRED. YES
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SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC
D Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
~MPLETE
D INCOMPLETE
D Other
.27~.r 2/22-
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STREET SUPERINTENDENT
(DATE)