HomeMy WebLinkAbout240 1/2 W 1st St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT . . . . . .
REQUEST
Date g--z -OS-
Time 7-fj 0 A ~ Received by 'J;.i 0;11/ (b/s 5(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
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Phone No if { 7 ~ t./ 9<11
Permit No
Sewer Excav Other @ 1- i'.~
Sewer Foundation Framing Chimney Plumbing Final
INSPECTION NOTES I J_--::...
Inspected Date g...l ~ (15 Time d). :~D .p n- By ~
Rem'Rks l.t.#'k.O v~ d wet-..ter ~rv( <::..-'?.. -fo .. Wo..s#wa_J::i.~
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RESTORATION REQUIRED YES
NO ><
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt
OPCC
o Other
o Repaired by City
CJ Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)