HomeMy WebLinkAbout4th & Eunice Street - Engineering
.,
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date q-? '/- 0 c..;
7/7
~~person)
'"
Time / ': JV j!..r/ Received by
/
Location of Work to be inspected Lj r I, 1 _<:!~/v1It:'-e
Name of person requesting inspection VJ "1-. le.r 0; 1/.
Address of person requesting inspection /70 3 S () IS s r
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
Phone No. Lj/7-Y'O'/7'
,
Permit No.
Sewer Excav. @ t:-../4 te.r
INSPECTION NOTES:
Inspected: Date q . rJ y -c.? ~-
Remarks:
Time
:5 : CV /J#-t By 7/ /
r
"1.' \ ./J/J
~ rr,("uVl
11/ e" k
RESTORATION REQUIRED . . . . .. YES V NO
.~'" $
-
~ \Y" ?-" c r ., ~
.. ~40~
k..:
II' - " Ljff1. V
-
l. '<} .\)
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\. "" .2" Pill.. ~
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
% INCOMPLETE
o PCC r>{Other l~iv 5(1/ '/
/
503'/7..- D'-/S-