HomeMy WebLinkAbout17 & B Street - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . INSPECTION REPORT . . . . . . . .
REQUEST:
Date if r 7- 0';-
Time
7AM
Received by .De..'lIAI'S C(phOne, person)
Location of Work to be inspected 6'f:.. y~....-~ 11 -r 6
Name of person requesting inspection De", V\ 'S F.
Address of person requesting inspection ~.r() Yt<.r4 (7 ~ D Phone No. t.f If -<f8L(c;
I
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other Wa.. --;- e v
INSPECTION NOTES:
Inspected: Date i.f - 7 - 0 S-
Remarks: ReI} ia.c€. i z" 0.1;2
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P;JJi?.- $/-Ji-t otJe"" dve..1"b
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RESTORATION REQUIRED. . . . .. YES >< NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
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