HomeMy WebLinkAbout2302 S Eunice St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST
Date ...9-/:L -'D 7-
Time
Received by
(phone, person)
37
Location of Work to be inspected ,Q. '32) ,;4.. 5. 1:- CJ;U / C-'L
Name of person requesting inspection T't..0" J (MX
Address of person requesting inspection 1 711t 'i-!3 / Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other IL} (A.:...--f-ty
INSPECTION NOTES
Inspected Date Time By
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RESTORATION REQUIRED
I r Pit
S
\fJ
. YES NO
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SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt 0 PCC 0 Other
o Repaired by City Work Order # &1-.1 q l(~
[] Repaired by Permittee [ta/COMPLETE
o No Damage Found 0 INCOMPLETE
(Continue on reverse side if necessary)
(DATE)
STREET SUPERINTENDENT