HomeMy WebLinkAbout1314 E 2nd St - Engineering
CITY OF P.O'RT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 10 - 2-. .O~ Time Received by (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other l}Jt(j-e Y
INSPECTION NOTES:
Inspected:
Remarks:
/
/
RESTORATION REQUiRED...... YES ~ NO
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SURFACE RESTORATION:
SURFAC~tYPE: 0 Unimproved DGravel
/5f(ev) rh 0 Repaired by City
/j 0 II V yp 0 Repaired by Permittee
J if ' I 0 No Damage Found
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o PCC 0 Other
Work Order # q /7 Y - 0 () 2- I A
~ COMPLETE AteCA ~'e..p,.~\'ted lA.J1tVI
o INCOMPLETE 't:(Z t:J\t-e(:-":' M', y
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STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date /0 - z..... .O~ Time Received by (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
Phone No.
Permit No.
Final Sewer Excav. Other {Pa...:j-e Y
INSPECTION NOTES:
Inspected: Date
Remarks:
B~
/
/
RESTORATION REQUIRED. . . . .. YES ~ NO
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SURFACE RESTORATION:
SURFAC~YPE: 0 Unimproved 0 Gravel
/5f(ev) rh 0 Repaired by City
/j 0 II V yp 0 Repaired by Permittee
J if ' I 0 No Damage Found
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o Other
9/7'1- 002-
Work Order #
o COMPLETE
o INCOMPLETE
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