HomeMy WebLinkAbout1203 E 1st St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT · · · · · · · · · · ·
REQUEST:
Date ~ - 11~o'5'
. "
Time
1: 3 i> A,I-\. Received by
7/1
(phone. ev
Location of Work to be inspected /70 J & .,f:rs T
Name of person requesting inspection t,,-./ ,...--1 e,- 12 ".
Address of person requesting inspection I 7 () 3 oS t3 15 50 r Phone No. Y /7- 'Its ~/ 7
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer EXC8V. @ L--J~ T ~ r
INSPECTION NOTES:
Inspected: Date 8....17,D)" Time '1;Su 4'1'1 By 7/7
Remarks:
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RESTORATION REQUIRED . . . . .. YES)( NO
SURFACE RESTORATION:
SURFACE TVPE: 0 Unimproved o Gravel
o Repaired by City
o Repaired by Permittee
D No Damage Found
o Asphalt 0 PCC
Work Order II
o COMPLETE
~ INCOMPLETE
~Other 7tJI -5011
303'1(; -06;l.
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STREET SUPERINTENDENT
COATE.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . . . .
REQUEST
Date 6~..} /-05-
Time ,?('ot) f/yl Received by )/ 7
(PhOne,~
Location of Work to be inspected I ~c) 3 E / 51
Name of person requesting inspection J tt. r ~r fl.;,
Address of person requesting inspection I 7,J:J .s ~ i? 5/ Phone No t..; 17 Y'j '/7'
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav @ VVt''l j 1f i/
INSPECTION NOTES
Inspected Date b ,-J..) -0 S
Remarks
Time ,;J! l70 j' /)''l By 7/ 7
7
f.e/J~c-Pd
,
11J.~ t-e / .5 It-'-> t:l
/
RESTORA TION REQUIRED . . . YES X NO
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to '\)
J
0
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SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
D Asphalt D PCC ~ Other
Work Order # ~J 03$16 - 050
o COMPLETE
~. INCOMPLETE
'/of} ~ .5<<:)1/
/
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)