HomeMy WebLinkAbout1800 W 7th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT . . . . . .
REQUEST
Date t) - (( - 6 S
Time
"7 AfA....i.
Received by De'Ht,S ~ (phone, person)
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Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one)
Phone No
Permit No
Sewer Excav Ot~~ +e ""0
Sewer Foundation Framing
Chimney Plumbing Final
INSPECTION NOTES
Inspected Date
Remarks E~kAd ~"
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RESTORATION REQUIRED
YES
NO ><
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SURFACE RESTORATION
SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt 0 PCC
D Other
D Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)