HomeMy WebLinkAbout302 W 9th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . _~
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Received by . ~,
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REQUEST
Date ~j~y JJ;L,
~~~, person)
Time
? 30
Location of Work to be inspected _3d:J cl' I 9 r~)
Name of person requesting inspection /7)u tI(j",jt:lv fA <'..I E eft /1 /')
Address of person requesting inspection .;fJC'd-. Ie 9 ti-- Phone No -L/S?-;.jf 7/
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
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INSPECTION NOTES l C
Inspected Date
Remarks
Time
By
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RESTORATION REQUIRED
YES
NO
SURFACE RESTORATION /'
SURFACE TYPE 0 Unimproved DGravel B"Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
[] No Damage Found
Work Order #
GYtOMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
'/Ill S' - 1-02
/
STREET SUPERINTENDENT (DATE)