HomeMy WebLinkAbout2/3 Alley E Penn St - Engineering
CITY OF PORT ANGELES
,DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date J /- () 3 - () -<; Time 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.
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Final /Sewer F",.~ Other
INSPECTION NOTES:
Inspected: Date Time By
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RESTORATION REQUIRED . . . . .. YES
NO X
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved ~ravel 0 Asphalt 0 PCC
o Other.
,
o Repaired by City
o Repaired-by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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