HomeMy WebLinkAbout1015 S Eunice St - Engineering
CITY OF PQBT ANGELES
DEPARTMENT OF~UBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
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REQUEST
Date 8 ~ I 2 ~ D -::3
Time
Received byDe.<-^-\A..:s E (phone, person)
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Location of Work to be inspected ( D (-5' 50 1:::- v v'L \ C e...-
Name of person requesting inspection t)elA-1A- l~ E.
Address of person requesting inspection {" IS> ~~ V O-.r J
Type of Inspection (circle appropriate one)
Phone No
Permit No ~
Sewer Excav Ote+e , -
Sewer Foundation Framing
Chimney Plumbing Final
INSPECTION NOTES
Inspected Date (3 - (7- -0:>
Remarks KeM...C: uJe J 5e rJ (~<-
Time /0 A 11/1..
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By VeVll-'t f~ IE
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RESTORATION REQUIRED
YES X NO
SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
A'l~'-+ tlc-<- f ck S
I
~sphalt D PCC D Other
Wor~ Order # 732 ~
0(COMPLETE Ates--, {'~{R~\ I..'cr\
D INCOMPLETE \}J '1~~ ~\C!, \ ~\ ~ 1:
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(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)