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HomeMy WebLinkAbout1331 Caroline St - Engineering . Wl CITY OF PORT ANGELES ~II> 9-SIS'llr~~ )0 · ...... ~~~~~~~::;T~;:~:~~R~~.~~~. . . . .. / REQUEST Date b -- b~ On 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) ) '3 :3 ( ~n 1/ jf/-e . Y;-w ,'I c~ li-Hr. '6-/3 Phone No Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ~~ INSPECTION NOTES Inspected Date Remarks R Time By I "'C..-V?t0)Ae :J.- ~ 5~;G--e--5 A-t- 1'3 j/ C~ Ii;~ RESTORATION REQUIRED YES NO/~ f. ..e tfYU>lH- trL ?/ ';!#Ii' ~....L ~ 1} qS (,vV ~\f }c>q~ 11' CAro l/)U~ \ ; I ) l ,~ ~ o SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC 0 Other o Repaired by City Work Order # j b 2-( o Repaired by Permittee [9-C'6i\iIPLETE o No Damage Found 0 INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)