HomeMy WebLinkAbout1010 Olympus Ave - Engineering
CITY OF PORT ANGELES Dw ZOr!)gtj'Z
DEPARTMENT OF PUBLIC WORKS (
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . /3k-l
REQUEST .
Date 1- J b ~ b (
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)
, I
/6 /0 -6y/l
IVU II ((j y
/7('-)1 ~f; r
D I v/lnt/U 5
I I
Phone No
Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other LJ..)C:...+-e~
INSPECTION NOTES
Inspected Date Time By
Remarks - /. ~MZ cm-el:: ~ 6~ C::h1
:?; II ~') (J };I~ y- _ ---LI i <- -e _~I-e _ _ 6
U-J....eS\- ' /2' II
RESTORATION REQ IRED
YES
/'
NO V
ft-)
\\ ~D
&-- r
L ~
\- V~'f} ~
\, f- \
~
~
\
~
~
~
A/f [
6 I Y fYI/)t,! 5
').. I , c -I.-
'{....,
~
~i ~cY
'-7'Jl'E- I ~ n 4"'~ .ot1
.~ ' I t~ ,L +-,
, " "llw , 0 t I) {,
'v OUlh t .\ v-
SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
D Asphalt D PCC J ~ D Other
Work Order # 7 :2-
~OMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)