HomeMy WebLinkAbout16th & G Street Street NW - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT . . . . . .
-
REQUEST:
Date II - g - 0 <-(
Time
7 At<-<...
Received by j).eUVl {"5 E (phone, ~rson)
7-L<. " "
Location of Work to be inspected 1& - "f- {j, :S..:t
Name of person requesting inspection De.. vt I'S jC.
Address of person requesting inspection 4ri1 Y",-,,J
Type of Inspection (circle appropriate one): p
Sewer Foundation Framing Chimney Plumbing Final
N-W. Lo-rVler
17 <6-15 Phone No. t.!1"1-'-I:<?c..f9
Permit No.
Sewer Excav. Oth~"'-+~
INSPECTION NOTES:
Inspected: Date 1(- 8- 0 4. Time 3: '30 PrM.. By tJevtV'L;S E .
Remarks: !lof ---!d...t? ~{. c..L. 1vt.G..,'VI. e:)(1~V'.d <6" i)T. T'" VL€-w
3 120,1' fhYJrA.V\.i +0 v-eD(~€- D fA 2. .Do. +- "'-yd ,a..."'-."'t-.
V I I
~
bo.
<-
-?H- ~
~T(,~
0.
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
RESTORATION REQUIRED . . . . .. YES ~ NO X
,;j\
_"-b
(G~
o Asphalt 0 PCC 0 Other
Work Order /N5't,-! ~DI'f
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessarv)