HomeMy WebLinkAbout1241 E Lauridsen Blvd - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . . .
REQUEST:
Date (., - ,) -0 <;
Time "6-: c'C) A,'k.. Received by 7 ( )
(PhOne,~/
Location of Work to be inspected /;P)( t/ 1)'17 E 4vloJ5<'~ !JlvJ.
Name of person requesting inspection W CA., e J tJl ',;
Address of person requesting inspection 1103.s 0 rs 51 Phone No. <.//7 -(/r;'/7
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ ~ T e,r
INSPECTION NOTES:
Inspected: Date /, -! 0 r 0 <)
Remarks:
Time 1/:Jo!Jhr? By 7/7
.;< J1e-v
I k ~ l-vC1.t..,r
.
S e.r{./{c-e
r-7)' -4
/b6'~
Lo.vy,d'ier\. BLvJ.
~"/k..
NO )('
,
RESTORATION REQUIRED. . . . .. YES
r2~ I
r )'/1
I
SURFACE RESTORATION:
SURFACE TYPE: J(' Unimproved o Gravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 303'1<fs '036
~ COMPLETE.) 0 s'l"i" - 6;? 'I
. 0 INCOMPLETE
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