HomeMy WebLinkAbout10th & E Street NW - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 9 -~-o5
,"~
"',--"'
Time
7 Av.--.
Received by De"..,:; E...
(phone, person)
10# o.f- F A I I. J
Location of Work to be inspected IV - IV .
Name of person requesting inspection ve""V/ 1':5 t;.
Address of person requesting inspection L&r'/!7 y'a...-J}
V
Type of Inspection (circle appropriate one):
Cor~v .
17'fJ B. Phone No. '(17-<-18'<./"7
Sewer Foundation Framing Chimney Plumbing Final
Permit No.
Sewer Excav. Othec?,,-,+e.-0
INSPECTION NOTES:
Inspected: Date q - 20 -Dc;) Time II ,4 Iv( By f).~""l.1.' S E- .
Remarks: l2ef{~c-~ L /Jort- <f" te.:..J k.ydr"""'-T tJHk. a...
.3 e~ It- ~ (( LeA.A' kf'drc:.IA---r. rJ~w '^"ydr~V\. i "f-ti....tJPe d.
a~~ CJ ~ 0... 10 ,. c. I . I I ~ . I J
RESTORATION REQUIRED . . . . .. YES
NO X
Oi.9 14rl, rJe..J 1-41&' ~
U<.Q"",-w-t.. ) / IL ;;-
i!:>.. ':l'- J
I
'~3~
"- 10. --tk.
N'l 10 -
~
N "t\l
v",(';t.. loA \. ~
Fr'H\'r of ell. y
"3 tJ.!;\
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 503'-17 _DI{
o COMPLETE
o INCOMPLETE