HomeMy WebLinkAbout3rd & Lincoln Street - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
.. ........ . INSPECTION REPORT...........
REQUEST: ~
Date 9 - d-6 - 0 / Time
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ReceIved by
{phone. personl
location of Work to be inspected
Name of person requesting inspectlon
Address of person' requesting Inspection
Type of Inspection lclrcle appropriate onel:
Sewer Foundation Framing Chimnoy Plumbing
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Phone No,
Permit No.
Flnal Sewer Excav. 'other
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INSPECTION NOTES:
Inspected: Dale
Remarks:
Time
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By
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V NO
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RESTORATION REQUiRED...... YES
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved
DGrllvel
::::J Asphalt 0 PCC 0 Other _
Work Order # "71 Y ']
o COMPLETE
l1}1N'CO MPLETE
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o Repaired by City
C) Repaired by Permittee
Ci No Damage Found
I;TI'l~>T "lIP~RINTENDENT IDATE)