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HomeMy WebLinkAbout2012 S Cherry St - Engineering CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. REQUEST ~ Date / / ...3(./0 I Time j' .,:;{) prl\ f Received by '()' / g, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) ;2t.:< J, (i/'U'L ~N-k~ C;/;;_-I:L_ v ./ ~_?")'--': _---1 Phone No 1-/7- 9 zCf9 Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ,Z~p{Lc1T:~J ~d~Etd' :: f~;:~- v7~~::<" dC,") ,,, fun 17 :hcJ ~n~' t'l-:-u4-[) I Time By IA1~AJi 6- Id -us -{9 \ RESTORATION REQUIRED YES NO " t I.." Q. d:\'~ do ,'tc. h ". 10 ~ f J "'-.. ~ t. t ( I '''';,."- o--t c'r SURFACE RESTORAT ON SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # c) COMPLETE I c)'-dS'-f)1 h- o INCOMPLETE (Continue on reverse side if necessary) -tJy(JJ / (DATE)