HomeMy WebLinkAbout506 E 6th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . INSPECTION REPORT. . . . . .
REQUEST ,. I ,/
Date ,/qIU / () b,ime
Received by
(phone, person)
Location of Work to be inspected , ~ ~ E (;;; '0
Name of person requesting inspection ~1 KJLL/~
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Permit No !3iiJL)
Sewer Foundation Framing Chimney Plumbing Finale.;;Exc~ther
INSPECTION NOTES I . /
Inspected Date 1"e:~.3// ;:J z.--- Time
Remarks '''Ke' CL'-' n nee 'TE' el.
I E f)f).4 I
RESTORATION REQUIRED
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YES
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NO
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
D Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)