HomeMy WebLinkAbout516 E 3rd St - Engineering
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CITY OF PORT ANGELES .
DEPARTMENT OF PUBLIC WORKS /3# / ,~/
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:. . /'
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Date
..,
Time
Received by
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(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 Final
Phone No.
Permit No.
Sewer Excav. Other ~~~
INSPECTION NOTES:
Inspected: Date Time. By
Remarks: 1(--ej?1 tt. C...R el 21u ~7V tJc;c~
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RESTORATION REQUiRED...... YES ~ NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 pcc
Wor~rder #
f5D/COMPLETE
o INCOMPLETE
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o Other7'6P 56 I /--
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