HomeMy WebLinkAbout602 S Cherry St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . . . . . . .
REQUEST
Date / / ~;A3 -D,
Time I;}: JO f p/tReceived by
(phone, person)
Location of Work to be inspected b 0 ~ (So de,'j
Name of person requesting inspection f/JeA.Te.r ;J'./tSI'6 ""-
Address of person requesting inspection /7(t.- ;- is ~i Phone No Cf/7-(/~Y7
Type of Inspection (circle appropriate one) Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav @ e-...Jct.fe r
INSPECTION NOTES
Inspected Date 11-';' '0 -c/'l
Remarks
Time
I;;" :)D f)~ By 7 /7
I
;).~.. CI /'J1A,"'L grvea.-k
.
,
~ ~
);
<~ \5
..
~ {, T~
1
r le'-I \)0
J." c~
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RESTORATION REQUIRED
. YES X' NO
SURFACE RESTORATION
SURFACE TYPE D Unimproved D Gravel
D Repaired by City
[] Repaired by Permittee
D No Damage Found
D Asphalt D PCC )Cl Other 101 SOl I
Work Order # 1 3 'fj). ~ - c- )?
o COMPLETE
Jj INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty of Port Angeles
Public Works Department
Water DIstribution Repair Report
IWork Order No ISC;;;<:8.- 6 Jej
ICrew 7/~. 70~ 7~:?
J
J {- 'J 7 -Ocr
DATE REPORTED f (7'-..::> _
CONDITION E.l\.1ERGENCY 0 ROUTINE)c( CITIZEN COrvIPLAINT 0
LEAKAGE SURVEY 0 oufuR 0
D ATE OF REP i\IR.
1/- ).3- Qt.! TIME J).',3D
ADDRESS bC:>~ 5':> ~A ef /'7'
DAM. )(P.M.
REF AIR LOCATION
TYPE OF MAIN
c..I SIZE ~ "
'J ...-' '? c'
~ \;) CLOSEST VALVE DEPTH. t?-. ~
DEPTH OF MAIN
COMPONENT REPAIRED.
MAIN JOINT D CIR. BREAK 'tit SPLIT BELL D LONG BREAK 0
HOLE D CLANW 0 6THER
SERVICE TAP 0 CORP STOP D PIPE 0 CURB STOP 0 FITTING D
METER SETTER 0 METER 0
LINE VALVE. FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER.
COMPONENTS OF REP AIR. CLANWO DRESSERO OTHER 5 leu;! t.S5 5"te/ A'~#.... &"1 J
SITE CONDITION GRA VEL 0 ASPHALT 0 SIDEWALK 0 CURB 0
TOP SOIL AREA X SOIL TYPE
CUTS ASPHAL T CUT _IT CURB CUT _IT SIDEWALK_IT
DRIVEWAY CUT _IT
MAIN CONDITION INTERNAL LINING d.J. TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE -Ll/J....p P M.lelal/~ c! G/YlJ~r I"SI(;'<. l/'eC~(4I e
WATER OFF FROM
M.TO
M.
FROM
M. TO
M.
~PtillENT CAUSE OF LEAK
0/ J:? f/~ e
I