HomeMy WebLinkAbout430 E 6th St - Building
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . INSPECTION REPORT. . . . . . . . . .
REQUEST:
Date 7 - '> -OL,
Time
g II fv! Received by /){;;lr/,'5 E (phone, p~)
Location of Work to be inspected <{ SD r;.. t:,~
Name of person requesting inspection De ,'ll1 ,<; E .
Address of person requesting inspection Lnrfi ytllJ 17 <f-l> Phone No. 4/7-4f'-l9.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Othecp~
INSPECTION NOTES:
Inspected: Date '7-"'$~' 0& Time 10 Ab0
Remarks: ~prJA;"~6JrL 2" c.z.. VVI.::\/Vl t-J,fL...
. II r 8.
~ 'i 0 -t- 5' c L.. . 0 jJ. V:v . tJ; IU....... ,
I I ,
By fk ...."- ,S E-..
Z- Dr~sS-Lr c.o'Jf if:5S
RESTORATION REQUIRED . . . . .. YES
NO X
~
.\-:
V) r;,~
,..... S .-;-. +.
~ C--
"-0 V"\
Q ( I .;1
-l::\ ;/ ~ zz. D.a'f
~ 2 c../. /< 7'1. b
~ 6 )( I ~.. ':S
'i r~p,..r
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 5D3'-/7.-- C)Cn
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
_~TAI=a:T3:'1.IPa:gll\lT.~l\lnJ:l\lT.
U:\A:T:J:\