HomeMy WebLinkAboutColumbia & Liberty St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
" - 8-0"-
Date u::> J
.
Time
"lAM..
Received by 'j)-ek....,~ E. (phone, person)
Location of Work to be inspected eo(U"'^- b (~ ~VJ. L"b~Jf-y 6. u), CorVle (',
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Name of person requesting inspection e Vl VI,S _'
Address of person requesting inspection Co...- /J Y <-\.:vJ {7 v-13 . Phone No. Ifl 7 -Lf 8t{ '1
Type of Inspection (circle appropriate one): I Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date G - 8 - 6s
Remarks: I?tt(t>..c.e olJ z
Time 3.'-5D I'M By Dekvt':;; ~ ,
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RESTORATION REQUiRED...... YES
NO X
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
[] Asphalt [] PCC 0 Other
Work Order # 5o"Z.>41-oo8
[] COMPLETE
o INCOMPLETE