HomeMy WebLinkAbout303 Brown Rd - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT . . . . .
Dl.U - Loal - 19-97-
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REQUEST
Date ,::( ~ 2-/- 6 I
Time
Received by
(phone, person}
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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/ 1-f If cIr 13 Phone No
Permit No
Plumbing Final Sewer Excav Other ~\. -f-cv-
INSPECTION NOTES
Inspected Date
Remarks
Time By
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RESTORATION REQUIRED . YES
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC 0 Other
o Repaired by City Work Order # / I C; 2-
o Repaired by Permittee ~MPLETE
o No Damage Found 0 INCOMPLETE
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STREET SUPERINTENDENT
(DATE)