HomeMy WebLinkAbout223 E 8th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST
Date
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
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Phone No
Permit No
Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected
Remarks
Date
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Time
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By
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SURFACE RESTORATION )
RESTORATION REQUIRED
YES
NO
SURFACE TYPE D Unimproved 0 Gravel D Asphalt D PCC
D Other
D Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)