HomeMy WebLinkAbout208 E 6th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
PM...
Time I Z- OD ~ Received by D.ef/Lf1 (5 E (phone, person)
REQUEST
Date (l- 2 -Z -o..f
fL
Location of Work to be inspected ZD8 W Co -
Name of person requesting inspection V-Rrt 11 f 5 E . .
Address of person requesting inspection ~r III!? Yo...rd
Type of Inspection (circle appropriate one) I
Sewer Foundation Framing Chimney Plumbing Final
Phone No '1-( 1- 4849
Permit No ~
Sewer Excav ~w~
INSPECTION NOTES.
Inspected Date t{.-- Z. Z -oc{
Remarks. Re "'CA., >... z' c.. T .
,
Time 2-- PM By O~V'{ vt , s IS
~IV"'.. u.llt-k. C".IJ .f'vl~ c-(i<..le... r~fo-....~r b~V\.:\
RESTORATION REQUIRED . . . .. YES X NO
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~ " ro- ~ -75" ~
D 2 cr 3Duf W ~
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SURFACE RESTORATION:
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt
o pcc ~Other 51:JeLJa.. ( k
&{IJt1 r 0 K 4- x. 5"
o Repaired by City Work Order # ('382 -OLe I r
o Repaired by Permittee 0 COMPLETE
o No Damage Found 0 INCOMPLETE
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ICon,lnu. n ,evJ Ide if necess 'VI. . . ~TR"T ~IIPFRI"TF"nF"T
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Public Works Department
Water DIstribution Repair Report
'Work Order No 13 8Z~-OZ.D
I Crew 7 15"" -t- L r..e 1.(/
]
DATE REPORTED
<-f /' Z 7- -() '-f
CONDITION ENlERGENCY 0 ROUTINE 0 CITIZEN COIvfPLAlNT k
LEAKAGE SURVEY 0 OTHER 0
TYPE OF MAIN
Lf - Z Z .- 0 "-/ TIME
ADDRESS ZD~ kJ
C. _r... SIZE z. (,
2-
Co -+-4..
DA.M. ~.M.
DATE OF REPAIR.
REPAIR LOCATION
DEPTII OF MAIN
3 (r
CLOSEST VALVE DEPTIL
r' (
Z'Z-
COMPONENT REP AlRED.
MAIN JOINT 0 CIR. BREAK K SPLIT BELL D LONG BREAK D
HOLE D CLAMP D OTHER
SERVICE TAP D CORP STOP D PIPE D CURB STOP D FITTING D
METER SETTER D METER D
LINE VALVE. FLANGE NUTS/BOL TS D STEM D BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTIIER.
"
COMPONENTS OF REP AIR. CLAMP~ DRESSERO OTHER
SITE CONDITION GRA VEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA 0 SOIL TYPE
CUTS ASPHAL T CUT _FT CURB CUT _FT SIDEWALK_FT
DRlVEW A Y CUT _FT
MAIN CONDITION INTERNAL LINING N/ Pc TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION tOCALIZED 0 EXTENSIVE 0
CHLORlNE RESIDUAL S~ ..1J/A-P P M. F ( K" d L. v <-
WATER OFF FROM N i4 M. TO M.
FROM M. TO M.
A.PP L\.RE~T CA USE OF LEAK {:; ~~D v' V\.J x +f- ( e