HomeMy WebLinkAboutChambers & Georgiana - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date-J 2 -18 -oS
Time /Z:.30 PM.
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Received by ~LJi e
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Location of Work to be ~ns~ected ~...tlM be-rs r G(~r~\~i'\"-
Name of person requesting inSpection \:~~ DIVIS It:t\
Address of person requesting inspection-!7n3 S 'B Sj
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
Phone No. J41749'i.(1
Permit No.
Sewer Excav. Other iA)ate.r
INSPECTION NOTES:
Inspected: ~ate 12-lg~OS Time ,I :O~I~1'>\. By ~i~
Remarks: 2 fA.~,,, 15",>\.1::' I ref<<"re.! LJit"ii S .tln ki5 ..ske- 4.\ b....J
RESTORATION REQUIRED . . . . .. YES 'y NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
}&:Other {'W\(..,e.;t~
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
~ INCOMPLETE
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