HomeMy WebLinkAbout704 E 9th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
.....
REQUEST
Date 2 - <f -oZ
TimeS (5 It iV\. Received by l)-c v\. V\ \ S f=- (phone, person)
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Location of Work to be inspected "70 4- (~- T-
Name of person requesting inspection Ut'vt VI.. i ') E
Address of person requesting inspection ('~) r bJ >-fA. r L~
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Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
Phone No
Permit No
-'-. ;
Sewer Excav Ot~J:c+-:,
INSPECTION NOTES
Inspected Date -2 - 4- - () 1- ,
Remarks Z ,~ L '.L l~ \ V\.
Time
brec'"-k '
7 A l~
By
De..-,."\. I S
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RESTORATION REQUIRED
YES )<.
NO
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.-45 ~ ( L -
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
D Repaired by City
CJ Repaired by Permittee
CI No Damage Found
~ -/
o Asphalt 0 PCC 0 Other k'/ /S-c I
I
Work Order # /s 8 z...~- tJO I
o COMPLETE
o INCOMPLETE
1J to~
~n/o+'rF
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty of Port Angeles
Public Works Department
Water Distribution Repair Report
IWork Order No /'3?z8-oo (
JCrew 7 IS- <(-. C.. e..J
DATE REPORTED Z - '-1- Dej
CONDITION EMERGENCY}( ROUTINE 0 CITIZEN COMPLAINT 0
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR. '2 -f - Olf TI1vfE:5 (5
REP AIR LOCATION ADDRESS 70<-1 F 110::
~.M. OP.M.
TYPE OF MAIN
L l
f; (
SIZE Z.
DEPTH OF MAIN
'-/ {: , CLOSEST VALVE DEPTH. 4
COMPONENT REPAIRED.
MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL 0 LONG BREAK )(
HOLE 0 CLAMP 0 OTHER
SERVICE TAP 0 CORP STOP 0 PIPE 0 CURB STOP 0 FITTING 0
1vfETER SETTER 0 METER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER.
COMPONENTS OF REPAIR. CLAMPJ( DRESSERO OTHER
SITE CONDITION GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA J8:.. SOIL TYPE tJa...+, \)<:. _ C to...y
CUTS ASPHAL T CUT _IT CURB CUT _IT SIDEWALK_IT
DRIVEWAY CUT _IT
MAIN CONDITION INTERNAL LINING tJ /A TUBERCULA TION-MINOR 0 SEVERE 0
EXTERNAL CORROSION 'LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE ;J /A. P.P.M.
WATEROFF FROM :g {AM. TO (; A M.
FROM
M. TO
M.
APP ARENT CAUSE OF LEAK. {)! j) c< ~