HomeMy WebLinkAbout622 Victoria St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. .
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REQUE_~T. ~ r, '/1
Date -; -- 1,.1- - {/
Time
Received by
(phone, perso
location of Work to be inspected 6 ;l:2.- 1/1 C -I-ovlu,.. ~ 'S -r r
Name of person requesting inspection ft.>> 1\ ;' 0X
Address of person requesting inspection I 1 f-:; 'f- Is Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other { )../~\.t--e~ ~
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INSPECTION NOTES
Inspected Date
Remarks
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A
Time
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SURFACE RESTORATION.
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 pcc
o Repaired by City Wor~aer #
CJ Repaired by Permittee DkOMPlETE
o No Damage Found 0 INCOMPLETE
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(Continue on reverse side if necessary) I I , STREET SUPERINTENDENT
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