HomeMy WebLinkAbout1219 Spruce St - Building
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date <;? -"7 -05
Time I A t<-'l
Received by 'i:J.eiA '" ~s E. (phone. person)
Location of Work to be inspected 121t:) tV. .5iruce s+.
Name of person requesting inspection /)"11 vi i <, .
Address of person requesting inspection ev'f 'r6...,e - 17<l- 5 Phone No. 4-/~~'?N9
Type of Inspection (circle appropriate one): Permit No. OS - 7?Yj
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other0Ci:+e~
INSPECTION NOTES:
Inspected: Date 'i?-'1-D5 Time C; A fVt By [)~I1"l'S E .
Remarks: fJ..~tc<'p a....J lA-U)Jc f,eorVlc--p TO +k.L we..st- :..:-. 'T~ . elC'S/.st'.....:J
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RESTORATION REQUiRED...... YES
NO X
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel
D Repaired by City
D Repaired by Permittee
D No Damage Found
D Asphalt D PCC D Other
Work Order # 5"55'1 ~ 2.'2../
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)