HomeMy WebLinkAbout1725 E 6th St - Engineering
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CITY OF POR'T ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
.....
REQUEST
Date Iv.- /C? - ot.-/
Time 71{0-'\
Received by iJe14P1 (S C (phone, person)
Location of Work to be inspected 17l....~ E. ~ ~
Name of person requesting inspection f)-e vi vt ( s E.
Address of person requesting inspection ~",-y:1 t(c(v"'d
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Type of Inspection (circle appropriate one)
Sewer Foundation Framing Chimney Plumbing Final
17'1-8 PhoneNo tfI7-'f8<f1
Permit No.- ~
Sewer Excav oth0-te0
INSPECTION NOTES
Inspected Date (0 - fC-{ - () c(
Remarks If/lstc..1t .5 (Jori
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Time 5 fJ M By j)<2tA.Vl. (s E-
J1..yd YAV\T To re/~k,,-c~ old z fo,,-t it yd/'qr\'
RESTORA TION REQUIRED YES !>( NO
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r 3' --I" lJeet> 1~
(;< ,<J C 302 ,
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
CJ Repaired by Permittee
CI No Damage Found
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(Continue on reverse side if necessary) / '
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OAsphalt OPCC ~Other~Cy~-te
Not~- TO""" .w~ you ,-~,r
Work Order # 1t.f~/'" Oil S(&.~\0ajk <:"ould va,)
lq \ I 'J.-\$ \ pour CO'lL~~ +.:: 'j h.
o COMPLETE +k? \k..lviZ. bel<- Tk... T
o INCOMPLETE /5 tn!~ Anile IN"X
cd- ~k,s <,...d.ress
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STREET SUPERINTENDENT
(DATE)