HomeMy WebLinkAbout2040 Mt Pleasant Rd - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
REQUEST
Date 7"' ?-. A - r q
Time
Received by
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 Final Sewer Excav Other
INSPECTION NOTES
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Inspected Date
Remarks
RESTORATION REQUIRED
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC
Wor~rder # ~
flJ/tOMPLETE
o INCOMPLETE
o Other
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STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
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REQUEST
Date 1-- A 1- q q
Time
Received by
(phone, person)
Location of Work to be inspected ~b Lj D " cnrt- /Ii -eC1. <; -€/? 1-
Name of person requesting inspection ~W \ \ (.t:::. r
Address of person requesting inspection 1-1-~flt fr,g Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other dAJ t'.c\--eI/"""
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Inspected
Remarks
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INSPECTION NOTES
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RESTORATION REQUIRED
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
~ETE
o INCOMPLETE
o Other
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STREET SUPERINTENDENT
(DATE)