HomeMy WebLinkAbout535 W 16th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST 'J
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Time
Received by
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Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other U )A ~
By
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RESTORATION REQUIRED YES NO
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INSPECTION NOTES
Inspected
Remarks
Date
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SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
D Asphalt D PCC D Other
Work Order # ;i b3
~OMPLETE
D INCOMPLETE
(phone, person)
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(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)