HomeMy WebLinkAbout93 - 133 Reservoir Rd - Engineering
CITY OF PORT ANGELES ID~.\
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
Date /~ -/~/ 11
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
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Sewer Foundation Framing
Chimney Plumbing
Phone No
Permit No
Final Sewer Excav Other vJ4:+--ev-
0W t)o07
INSPECTION NOTES
Time By
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RESTORATION REQUIRED YES (
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Inspected
Remarks
Date
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SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel
D Repaired by City
[] Repaired by Permittee
CI No Damage Found
D Asphalt D PCC D Other
Work~er # 1'2.67
[Y/COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)