HomeMy WebLinkAbout224-230 E 1st St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date f - ;<'6-0) Time / il30 In-.. Received by 7/1 (phonee-;;V
Location of Work to be inspected ~,)lf -t;(JO E J 5r
Name of person requesting inspection l/t./c....l t:' ~ .v1 v I
Address of person requesting inspection I 7o? ,(" i> L~ oS" 7 Phone No <; / 7 - </~ V 7
Type of Inspection (circle appropriate one) Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~~te ,r
INSPECTION NOTES'
Inspected' Date L; -; <?) -05
Time J..' 3 0 iJt~-l By 7 ()
,
Remarks.
/let (rei ? /Uef., r bZ))( e< C, r1 cl t:q -) v "\ ~~.,-:T t".} /OVA (I
rJ ~c:;J a<..tua I 5/~e~r. /.f ;-c r~/;",-J /
. ,
7'~..~
RESTORATION REQUIRED . . . . .. YES
NO
t J~'~
( 130'4 1~1 I
SURFACE R TORATION:
SURFACE TYPE 0 Unimproved o Gravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC ~ Other :5td-e <-V~ / j
Work Order # 703 .')Cj - II Y
.
o COMPLETE
~NCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT (DATE)