HomeMy WebLinkAbout305 S Eunice St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . . .
REQUEST
Date <7 - to -64
Time 1 0-0 At-v\. Received by [)evt.vf/? E. (phone, person)
Location of Work to be inspected 3 ".;- ::>.0 E. u Vl ( c... e..
Name of person requesting inspection ()~ vt. vt I S E
Address of person requesting inspectionL::or IJ Y o...rJ. (7"'6-.13 Phone No If 17 - '-f f't~
I
Type of Inspection (circle appropriate one) Permit ~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Oth~)
INSPECTION NOTES
Inspected Date 7' - I c> - 0 't
Remarks RetJl~Le 3/" f' X
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e{eLivD11StS
Time 10 0-0 /f~ By Del'tft'~ E
IZ." tvv2.-fe y 5e:ffer Le ~/c(~ J v e
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RESTORATION REQUIRED
YES
NO X
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # tt.fZ 7 8-0'=:>2
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CIty of Port Angeles
Public Works Department
Water Distribution Repair Report
IWork Order No Ie.{ ,?'1 g -()~"L
I Crew 7 I ~ Cf- ue..J
DATE REPORTED 9 - 11-0 Lf
CONDITION EMERGENCY 0 ROUTINE 0 CITIZEN CO.tv1PLAINT ~
LEAKAGE SURVEY 0 OTHER 0
DATE OF REPAIR Q-/3-olf TTh1E 7:00 ~.M. OP.M.
REPAIR LOCATION ADDRESS 305" 50 E UYllC ~
TYPE OF MAIN I! II c- SIZE 2'"
DEPTH OF MAIN -d6- CLOSEST VALVE DEPTH. ~
CO.tv1PONENT REPAIRED.
MAIN JOINT 0 Crn.. BREAK 0 SPLIT BELL 0 LONG BREAK 0
HOLE 0 CLAMP 0 OTHER
SERV1CE TAP 0 CORP STOP 0 PIPE 0 CURB STOP 0 FITTING 0
METER SETTER)4 METER 0
LINE VALVE. FLANGE NUTSIBOL TS 0 STEM 0 BONNET 0
HYDRANT BRANCH 0 VAL VE 0 BARREL 0
OTHER.
CO.tv1PONENTSOFREPAIR. CLAMPO DRESSERO OTIIER tJeu) tlA..L+O'" s.effer 3A/x/2.~
SITE CONDITION GRA VEL 0 ASPHALT 0 SIDEWALK 0, CURB 0
TOP SOIL AREA t( SOIL TYPE tV.::... +'VC
CUTS ASPHAL T CUT _IT CURB CUT _IT SIDEW ALK _IT
DRlVEW A Y CUT _IT
MAIN CONDITION INTERNAL LINING tJ fA TUBERCULATION-MINOR 0 SEVERE 0
EXTERNAL CORROSION ( LOCALIZED 0 EXTENSIVE 0
CHLORINE RESIDUAL SAMPLE P P M.
WATER OFF FROM <g A M. TO
<g 30.4M.
FROM
M.TO
M.
A.PPi\RENT CAUSE OF LEAK E( e <:-1 r 0 I (/$( S
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