HomeMy WebLinkAbout422 S Francis St - Engineering
CITY OF PORT ANGELES 1\'-'
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
Date / I '-? 'r -v '3
Time
7. :Jc:
Received by / / L L
(phone, person)
Location of Work to be inspected t-;;..?- 5. ;:;;e A/V C /5'. /Y w- elL V?j? 5;;K..y t:RAkCIJ
Name of person requesting inspection ./ / L t.-
Address of person requesting inspection /? ..a... y '" Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date 7i - ~ 'f- - t/ 3 Time 9. ~ .JP 7"9.fi?
Remarks Rid? t<4 1: fl,At' .IV U/ C t/ ~ ;'IE-A
'f ~ t: /i 5T tJr t/-"'1Li/F
By
(/.p
R#A/
FRAA//'/~1T 5~
,
RESTORATION REQUIRED
YES V NO
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,.....
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0\
-
o.r~x \
~
~
'" ~
~
-VI ~ "
> FT/eeer ~
I ~
" "-
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SURFACE RESTORATION
SURF~CE ~ D Unimproved D Gravel
/ 5 ft" \ ~ D Repaired by City
/) D 110:e D/,. o Repaired by Permittee
I ~ 1Y D No Damage Found
~t /fe-At' r ? X? cr /1
C- fJ~J5, /rr//V;:: ..4/5 Pp (
(Continue on reverse side if necessary)
D Asphalt D PCC D Other 5i Pc Jtv/t L /C2.
W~k Order # /;11 f II? ;;.. c:
M COMPLETE f\~ V-~CA~Il'-~ ~'\,\J\
[g.-mCOMPLETE \-\.o.~\ . co..i\ tbvN\'[\.\ 1- (~
\f" \~ n~
7 C rf t7 r SIP E fv/fLK. C IJ lIVe: ;- ~\t(
WHEEL {'H/l-//( /tKAN~.
STREET SUPERINTENDENT (DATE)
..
,
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 1/ '-;t- 'r -V '3
1\9:'2- tJ
,
Time
7 ~ :Jt7
Received by
//LL
(phone, person)
Location of Work to be inspected t-;;.. ?- 5. /"rf! A/V C / s. /Y w- elL jI?~ 5;;K..y t:RAkCIJ
Name of person requesting inspection ./ / L t.-
Address of person requesting inspection /? ..a... Y '" Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other
INSPECTION NOTES
Inspected Date 7i - ~ 'f- - P 3 Time 9. ~ Jp 7"9 A
Remarks Rid? r -41:: fl,At' .IV JA,/ C t/ ~ AIE/l
'f ~ t: A- S T tJ r t/ /l L i/ F
By
(/r
.R/lA/
FRAA//'/~Y- ~~
, .
RESTORATION REQUIRED. ... YES V NO
~ I /lI
,.....
~ /\/
0\
1--
o.r~x [\
~
~
'" ""
> -VI Fr/Ceer ~
~ "-
\J
~
" I"-
~
SURFACE RESTORATION:
SURF~CE ~ D Unimproved D Gravel D Asphalt D PCC
/ 5 ft"\ ~ 0 Repaired by City Work Order # /;11 f
/) 0 110:e D/,. o Repaired by Permittee 0 COMPLETE
I ~ 1Y 0 No Damage Found [g.-mCOMPLETE
~t tJ'e-A(' r ? X ~ cr /1 7 C rf t7 r SIP E fvfiLK. C IJ lIVe: ;- t7
C-fJ~i!, Trr//V;:: ..4I5Pp r WHEEL CH /l-//( /tKAft7~.
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
o Other 5i PC V/t L K:::-
II ?;;..c: