HomeMy WebLinkAbout620 S Laurel St - Building
,
1\, S T i)\lf
\1..-'U~ .01
k--
)
. .'
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date -1 ") - / - 0.......,
Time
/ ;.: ~'C/ JJ rY1. Received by
f
'/ (l
lepersonl
Location of Work to be inspected (,;<'u.5 ~ /a,4 e I
Name of person requesting inspection W",,-,ier tl, ./
Address of person requesting inspection 170? S <> e 57 Phone No. t.//7-'i'rs'/q
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ ~Ci-I e ~
INSPECTION NOTES:
Inspected: Date ! J.. - / - 0 1
Remarks:
Time ').; 3 (/ j,;?;-n. By '7/7
I +
j" .~erl/IL.-<- Ie..", ar ;J1a,~
,
f
~ lfl
\
- J."cJ ~:'J'" ~
"-
~ 7T"- \J
~ <.,.
'0 ~
m '-i
'"
\:.ll/o$-P
'.... f1b
'~.iII. ,~
j' '15' c-t./T In. 4sj7h,'/f ~el../a/1. rur.h f"dt?.v'A/i
RESTORATION REQUiRED.......... YES K NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
~Asphalt 0 pce 0 Other
Work Order # '30)l/6 - ;l3~
~ COMPLET~Ol/~;~
INCOMPL
~~~1
r;;cffrPN
(Continue on reverse side if necessary)
l'a ~ I {;J-O 7 -r.p::-
STREET SUPERINTENDENT
(DATE)