HomeMy WebLinkAbout11th & E St - Engineering
CITY OF PORT ANGELES
DEPARTMEN'TOF PUBLIC WORKS
o 0 0 0 0 0 0 0 0 0 0 INSPECTION REPORT 0 0 0 0 0 0 0 0 0 0 0
REQUEST:
-0.
Date
Time
, II,q(f)
Received by
(phone, person)
location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
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Phone No.
Permit No.
Final Sewer Excav. Other (.0 ~~
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
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By
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RESTORATION REQUIRED . . . . .. YES NO
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SURFACE RESTORATION: ~alt
SURFACE TV E: Unim roved o Gravel OPCC o Other
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TVJI 0 p
;(() . L.(e.e1 '70 Repaired by City
) ~1 ~} I DIu 0 Repaired by Permittee
11f1 ' I r 0 No Damage Found
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