HomeMy WebLinkAbout3716 McDougal St - Engineering
. . . .
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . .
.....
REQUEST
Date Q3-II-()3
Time
Received by Ol~;y-- (phone, personl
Location of Work to be inspected ~7 / {r; tr; ~6Uj ('~ (as.l-.J1cb % JUJa.. of
Name of person requesting inspection
Address of person requesting inspection Phone No
Type of Inspection (circle appropriate one) Wf 00QI8 2.(0
~oundation Framing Chimney Plumbing Final
-~
INSPECTION NOTES
03~(/-03
Remarks e d ./1 f1 ~Ul e Or.
H- (Y , ~ cilfJ_d 4' , -..- _ _I UL
..~SU;U-4-YlLrl3e 'Dre.S-~r r()14JWl~S 4.2-9- ~.3~, J
RESTORATION REQUIRED
YES'\.( NO
,
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- IU J 1 \; ~;.\.p<^d
- .J
3'7/&
-1hc;J>.; ~_
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c.5ovjh ~ m H @ \-\0 V\'v'S1.th~
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
FjAsPhalt 0 PCC
Work Order #
E( COMPLETE
o INCOMPLETE
D Other
/ (3 2-G
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STREET SUPERINTENDENT
(DATE)