HomeMy WebLinkAbout540 W 15th St - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
.....
..
REQUEST
Date 7' ~;'1 (J c:;
Time I tftJ f;Yl Received by
/17
(PhOne~o:::0
Location of Work to be inspected t;f../c..) t..-J 1<) rt.....
Name of person requesting inspection (..JL4.. fer 0,./
Address of person requesting inspection '703 S.,;> l~ $';- Phone No (j/7. (/ t?Y7
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav ~..f't. Ie .r
INSPECTION NOTES
Inspected Date q 'l'-'1 . t:? 5"
Remarks
Time ~,gO ~'YI. By 7/7
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R~devv" ~I( t/~f~f c5ervH-€ fie/H" 1,--. tneft/
RESTORA TION REQUIRED YES )( NO
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SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC ~ Other
Work Order # 30.3.'JQ -,;'S-3
o COMPLETE
~NCOMPLETE
'lo~sd;1
, I
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STREET SUPERINTENDENT
(DATE)
~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . .
REQUEST.
Date c;--;'Q--,,5
.....
J' : t.rV ;JJ .A/'I
Time _ c. V-~ Received by
,rf../~ ~ ) /~rt.....
Location of Work to be inspected L 1(,/ CA./ .]
Name of person requesting inspection (~a..J-'tr (}..,/
Address of person requesting inspection '70 3 S'~ t'S $' r Phone No lll? (/t?'/9
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav ~ to€? ,
,/7
(PhOne~o~
INSPECTION NOTES.
Inspected Date q 'I' '1 . t:? 5"
Remarks.
Time ~; IlL) sIJ,yt By 7/7
I
R.~d~ ~l( ~fff .5e;l/u..~ /71a,',. tv rneft/
RESTORATION REQUIRED . . . . .. YES 'X NO
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SURFACE RESTORATION:
SURFACE TYPE 0 Unimproved 0 Gravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC ~ Other
Work Order # 3031~-;'S-3 ..
o COMPLETE
~NCOMPLETE
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