HomeMy WebLinkAbout1500 E Lauridsen Blvd - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date ~~2Lj-or
Time
Received by
Rv
,
(phone, person
Location of Work to be inspected E:.J
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
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Phone No. 1;,5""7- <t6bO
Sewer Foundation Framing
Chimney Plumbing
Permit No.
Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
By
RESTORATION REQUiRED...... YES NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved oGravel o Asphalt oPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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