HomeMy WebLinkAbout123 W 7th - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date C\ -l ~"5
Time 'H~~O~W1
Received by "3eW G (OVc."S
(phone, person)
Location of Work to be inspected &/"1 c..\\.e'1 h.c.-\\,.) eef\- \.-Ul.AJ~\ -3 Ol\t
Name of person requesting inspection
Address of person requesting inspection II'1 I D lWl Phone No.
Type of Inspection (circle appropriate one): Permit No.
CS;;w~ Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date 4-[-0\5
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RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC ~ Other g('GI"iS ((C 5<il~q
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Work Order # '3J 0 Q
j;8( COMPLETE
o INCOMPLETE
_ rContinue.on.reverseside if necessary)
STREET SUPERINTENDENT
(DATE)