HomeMy WebLinkAbout700 Blk W 14th St - Building
CITY OF PORT ANGELES
. DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . . . .'
Location of Work to be inspected 700 8/1<.
Name of person requesting inspection Oe".,tS
Address of person requesting inspection c..,,... f1
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
.
REQUEST:
Date 10.;; 1-0,
1"'""-
Time
r
Received by
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ft.v
b~... vt .;. -e (phone. person)
w. N "t~
€.
V(;4.nR (7'1-B
Phone No. c{./7-V8<1<J
Permit No.
Sewer Excav. OthC?",;te r""')
INSPECTION NOTES:
Inspected: Date 11-'3-07 Time 1,:00 Pt11 By [)~>1.-f"S E.
Remarks: IotStt:>-{(e.1 2." {lV.c... (Xhd.80) +"-0\<0\. ~,. C..T. "vt "AN S+ rol"hlow
0<< o....-r e...d o~ foa.d. .k2.eWloVe.J. s~.l/ice.c, ..j:roM.- 10" c..I'. M.....;"" ~"'d
yeC::cV\e.c.te.d. -ro -rt.....e... IIlbV 'z." '-;vu ,
RESTORATION REQUIRED. . . . .. YES X NO
~ 733. tlo.
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"
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U). 10" ~f IN'
~ ~ er. ~ 0
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~ 2P'~. ,E. 1/~/(,,2'-'1'111,
~.., "10
.
Q 2"1'11(, 'd' )1"
II) D.~ f ,
Sd..e..l. 80 &"'"
730 ~ o~
vJ.(o.{ - 72.r..
W.I~!!h.
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved
4)1..(", z.. xa', ~'h(L..1 '-Ix /0, '3....7
o Gravel QS.Asphalt 0 pcc
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)