HomeMy WebLinkAbout925 Grant Ave - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT . . . . . .
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REQUEST:
Date
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Time
.....
Received by
(phone, person)
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Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney
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Phone No
Permit No (. 0 7
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~ Other
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Plumbing Final
INSPECTION NOTES
Inspected Date 3 - ~ - '7 7
Remarks
Time
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RESTORATION REQUIRED . . . . .. YES X NO
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SURFACE RESTO ATION. [;;LX 30)
SURFACE TYPE 0 Unimproved DGravel rn Asphalt 0 PCC
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Other
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)