HomeMy WebLinkAbout511 W 8th St - Engineering
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CITY OF PORT ANGELES 1)020D'1-15?L
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . . . . . . . . . .
./'
/
REQUEST
Date J - ?p- (/~
Time 1. RC/ ;'J;t
Received by 7 cl( /CT w.
(phone, person)
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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Phone No
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other 'hi A"1 e JC J'~j(Vlct
P W ,;J IJti ')
INSPECTION NOTES
Inspected Date } - ;1 v - I ?-'
Remarks L A- l/ AI 17 f( r !1 /t 1 -r
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Time ~: PI/ y.~ By
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RESTORATION REQUIRED
YES L./ NO
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SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel ~sphalt D PCC
D Repaired by City
[] Repaired by Permittee
D No Damage Found
Work Order #
D Other
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o COMPLETE
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(Continue on reverse side if necessary.
'DW20c:f)- tS-7 L
City of Port Angeles
Public Works Department
Water Distribution Repair Report
IWork Order No: / 5' 7 'J.-
I Crew: tiN. 7-4.1' vA/ I? Jclt>tA'A
, ,
Reported: 1-/ rfl/ V (/ Condition. Emergency V- Routine
Repaired: -1-/ ~0 ~ II Source. Citizen Complaint ,,--
Leakage Survey _ Other
Repair Location: Address S-/I w r~ tKl/('-P/tY~ D.
Lac Description. /1 ErEtfL S' E/~.vICe- L IA/e
Component Repaired:
Main.
Joint
Long. Break_
Service:
Line Valve:
Hydrant:
Other:
Tap_
Flange Nuts, Bolts
Branch
Main Line mu:
Cir Break ~
Hole
Valve
Split Bell _
Clamp _
Pi ~
pe-
Stem
Barrel
Curb Stop _
Bonnet
Repair Type: Clamp _
Site Condition: Surface
Curb
Damage'
Cuts: Street Cut: Ft.
Other
Corp Stop_
Dresser Other I? cf? (. .4 C EP SeCT ICtN U' f (./If/€
/H'~ItItL 7
Gravel Roadway _ Asphalt Street _8 r Sidewalk ~
Top Soil Area _ Soil Type _
Main Condition:
Diameter'
Material.
Depth of Cover'
Internal Lining:
Tuberculation.
External Corrosion.
Special Conditions.
Curb Cut: Ft.
/.trf7I-f~LT
arSidewalk Cut: Ft. 'X-,'
Inches r
C,:r.
Ft. J
,.
Joint Type
External Prot:
N/A
N/A
Bedding:
Minor
Localized
Gj!( Ave,-
Severe
Extensive
Other Structures:
Samples Taken. Pipe Section _
Water Off:
Apparent Cause of Leak:
Coupon -
From 3 / ?'I// ~(I To /~ '~,.4 M
From j / t?-t// ~ " To' .P~ I' M
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I 5 T (I R ~ () v 7 I (l~ I 11 J( _
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F~I? 'J' Hit.
f /r e-
"If/IN
CKALI< EP
5/19/98
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