HomeMy WebLinkAbout309 W 6th St - Engineering
.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . . . .
REQUEST
Date <?,. //.-0-)
Time S ,'Jv f/Jr\- Received by
7/7
~person)
Location of Work to be inspected ,?01 vJ G {"-
Name of person requesting inspection C/J~t"r rJ, v
Address of person requesting inspection /70 '5 So is s r Phone No l.( /7 # Y'<?Yc;
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav ~ ~~ t e ~
INSPECTION NOTES
Inspected Date <0--/ ). - 0 S-
Remarks
.~ t\ /J1Ci/~ b/ ~df,'
Time /0: <..IV ,/ A'L By 7/7
c.avseJ. 6v T/_< /o"Z;/~
r
RESTORA TION REQUIRED YES )( NO
b ~
V\
~
I ~
-;:;;:
-, ;.. " c.x ^ lJli" T"J
1/\ ~/Ob\' ~ ~
\J
brA ~
~
.bo.. -.
lC>
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt OPCC ~Other IOi? 50,'/
F' I
Work Order # S 0 :JY~ - Do/I
o COMPLETE
)( INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)