HomeMy WebLinkAbout1716 E 4th St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . . . .
REQUEST
Date /-; 7-0LJ
Time / /: crz'} /t1/ZA.... Received by 7 ( 1
(phone, person)
location of Work to be inspected I 7/6 e C-/ r4.
Name of person requesting inspection W Rl-te /- PI t/
Address of person requesting inspection .1 7 c> '5 .:5(/ B Phone No '-1/7 - Y'f$ '19
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav @ k/a.. re .--
INSPECTION NOTES
Inspected Date 1-;' 7-0 r Time 5 0--0 .I~ By 711
Remarks c-I/T ctA~ L.a//~A d/ La/- lJ" ~I oiL uJltvSe~ 02 H ra/vQ-lf,z-ec!
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RESTORATION REQUIRED
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
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o Asphalt fficc./ 0 Other
Work Order # 30'3""- ~(6 ~'). t560 wl
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ftr INCOMPLETE
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STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date /-J. 7-0LJ
Time / /: crz'} /t1/ZA.... Received by 7 (1
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection /7 C> '5
Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing
/7/6 e
wJe.r
c-/ r "-
PI t/
.:5(/ B
Phone No '1/7 - Y'f$ '19
Permit No
Final Sewer Excav @ k/a.. re .--
INSPECTION NOTES:
Inspected Date 1 - ;. 7-0 r Time
Remarks c: 1./ T ct A~ L.a//~ A ~
(.-/Ut fer /, I'J ~ .
\. .
CtfJjJ10)( <81.'1 G-l/f In C-.o/lc./-efe
5 crv .1"",,- By 7/7
,.}- 1'" ~I oiL UJlt vsed 02 H ra/~lftz'ed
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RESTORATION REQUIRED . . . .. YES X NO
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SURFACE RESTORATION.
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
D Repaired by Permittee
D No Damage Found
o Asphalt fficc 0 Other
Work Order # 30'3""- ~/6
o COMPLETE
ftr INCOMPLETE
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