HomeMy WebLinkAbout185 Doyle Rd - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
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REQUEST
Date 1- ~ '7 - 6 I
Time Received by
Location of Work to be inspected J <g, 1JD yl~ Rd I
Name of person requesting inspection ~w ~ (.~
Address of person requesting inspection --1~ ~~ tf3 Phone No
Type of Inspection (circle appropriate one) Permit No
~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ~/A_~
(phone, person)
INSPECTION NOTES
Inspected
Remarks
Date :r . ~
1/1; ~;r <'-<
/ (
Time
7h
/
~e.J-e~
By
f.s-
Ly-eitP 1--
t!5V
YES NO
y
v
~
~
~
o
~
"-
"
-Q
~
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
o Repaired by Permittee
[] No Damage Found
o Asphalt 0 PCC 0 Other
~orkjPder # 1/; 1
~OMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)