HomeMy WebLinkAbout225 E 11th St - Engineering
l1.oJ CITY OF PORT ANGELES
~:uv ;)t/7 DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
Date :;2.. - M -- D I Time
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Received by
(phone, person)
Location of Work to be inspected ;). :t)" ""f:: J / t/",
Name of person requesting inspection --r;(...) I \ (~
Address of person requesting inspection / 1-=t1\ "'t;- {}; Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other tUC\J"\-eY
INSPECTION NOTES
Inspected Date
Remarks
Time. By
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RESTORATION REQUIRED " YES
NO
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # } 7q D
,
o COMPLETE
o INCOMPLETE
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STREET SUPERINTENDENT
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