HomeMy WebLinkAbout436 E 6th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUES~ \. __ Of'
Date J ~ ') 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)
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Phone No
Permit No "'-
Sewer Excav Other (j--J ().. ~ ~
Sewer Foundation Framing
Chimney Plumbing Final
INSPECTION NOTES
Inspected Date
Remarks
Time
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CL) 1-1 " (l C /~
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By
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RESTORATION REQUIRED
YES
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
o Asphalt 0 PCC 4 0 Other
Work Order # { 7 2-'
~MPLETE
o INCOMPLETE
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STREET SUPERINTENDENT
(DATE)
City of Port Angeles
Public Works Department
Water Distribution Repair Report
o CAJ 2-S0 {- IrL "
IWork Order No 17 J-~
Reported LLI/:)....I CI~'" Condition.
Repaired: ~I ~I oG Source.
I Crew'
7/9"
I
~
Emergency Routine
Citizen Complaint l.../"
Leakage Survey _ Other
Repair Location.
Address.
t; J6
E tfIJ
Loc Description.
Component Repaired.
Main Line IDH'
Main.
Joint
Long. Break_
Cir Break V
Hole
Split Bell _
Clamp _
Other
Service:
Line Valve:
Hydrant:
Other:
Tap_
Flange Nuts, Bolts
Branch
Corp Stop_
Pipe _
Stem
Barrel
Curb Stop _
Bonnet
Valve
Clamp V
Dresser
Other
Repair Type:
Site Condition: Surface
Curb
Damage:
Gravel Roadway ~Asphalt Street _
Top Soil Area ~ Soil Type _
Sidewalk
Cuts: Street Cut: Ft.
Curb Cut: Ft.
Sidewalk Cut. Ft.
Main Condition.
Diameter' Inches
Material.
Depth of Cover' Ft.
Internal Lining:
2('- C ~ f-
"
,. ,
Joint Type
External Prot.
Apparent Cause of Leak:
Tuberculation: N/A
External Corrosion: Nt A
Special Conditions: Bedding:
Other Structures.
Samples Taken: Pipe Section_ Coupon-Yb j}JZ
Water Off: From t t To M f, X -e J 1-1 II ~
From I t TO;." i~ Mu~h~tJ(~ i~l~t-L
{-ettJ~ ~ cJr~u'( (), 5.e v
fJ u l' ~ -1-1> b'j. -I-r -"--e Roo + _______
Minor
Severe
Extensive
Localized
5/19/98
Page 1
PW-902.09
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date '1 - ( - 0 8
Time
(,'.30 flf'V/ Received by De",-",-~s E
(phone, pers'on)
-
Location of Work to be inspected tj 3(, E.. G:,~
Name of person requesting inspection D~",-.....,s E.
Address of person requesting inspection L.o r f Y,,-rd
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
1'1 <j.- 13 Phone No. <{ 17 -'-I8t{'T
Permit ~
Sewer Excav. Oth~ "'-..-te 0
INSPECTION NOTES:
Inspected: Date g - (-Of5
Remarks: /2e ",:r'e 2 "
~.....d z' of" ~cl.e.J.
Time
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By Deve,,-'S E
d....esser C"'V
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RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION: 3'K~'
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other Ca,(Lr~fe.
Sld~ wa.i{<:
D Repaired by City Work Order # >0 3'-l Z - {"'7
D Repaired by Permittee ..... ~ COMPLETE t;- g - D t
D No Damage Foun~ D INCOMPLET~ INti ~IL l/Vc;;'4lA."I;'P
10 SfrPpf- Of I Cf I 08 -,=r
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