HomeMy WebLinkAbout426 E 9th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . . .
REQUEST
Date /). -/1> - 0)
Time /7: ov A/Y1 Received by
/17
E9person)
Location of Work to be inspected CJfA..j 'hrlt! 5 WC.41M'r f l.f;t E 9Th
Name of person requesting inspection //1/ aft? / a 1/ .
Address of person requesting inspection /7" :3 S 0 (5 5 T Phone No Lf /7 - 'I ~(.Ic;
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav 8 vva.te.r-
INSPECTION NOTES
I "'1 -ILE-OC::-
Inspected Date rQ.I
Remarks
Time I UV /1,,( By 7/7
/} l \. tyla/l'l-b/'~k.
( J." I/all/~ re#..4Ce/h'i!4r
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RESTORA TION REQUIRED YES )( NO
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SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
D Asphalt D PCC ~ Other T~l ~o; /
Work Order # "30-Y-f; - 06 J...
o COMPLETE 50"3 'I J - 063
M INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)