HomeMy WebLinkAbout205 S Albert St - Engineering
CITY OF PORT ANGELES -pV\/Zoo7-1ffl
DEPARTMENT OF~PUBLIC WORKS /3fJ:r:-;
" " " " " " " "." " " INSPECTION REPORT" " " " " " " " " " "
REQUEST'
Date ';- J G - 6 ( Time
Received by
(phone, person)
Location of Work to be inspected ~ 0 c;- S- ; If I h -fJ V -I-
Name of person requesting inspection -r;{"U I I ( C:)L
Address of person requesting inspection J 1 th -6- {3 Phone No
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other UJC{.. ~
INSPECTION NOTES
Inspected Date Time By
Remarks , _ I?-<>;?~ ~ : ~Vf~ c: ~: Y:;,t '- ~
~/V~ ,'lJ/-e~1- _ (.-1:- ___ ~~I _ L{ 11-)1
COYVJI 11-110+. .5~i 6f ~-I- r:'~-f ctnc:( C~;V
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RESTORATION REQUiRED...... YES V NO
SURFACE RESTORATION' ... /'
SURFACE TYPE 0 Unimproved 0 Gravel tHrsphalt
o PCC 0 Other
Work Order # /~ 9 '3
~COMPLETE 8-7--01 M~
o INCOMPLETE Ii
!' y 6' P-'t{fcJ, /1/-e ~d[d
r y ,
o Repaired by City
o Repaired by Permittee
o No Damage Found
/1;-flteef1~1~1 /tbe vi-
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STREET SUPERINTENDENT
(DATE)