HomeMy WebLinkAbout515 S Laurel St - Engineering
A15""
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date {L - 8 - oS- Time 7 11 to Received by OeM"" 5 C (phone, person)
location of Work to be inspected ~ {'j ~ ~:50. La.u re....l .5 -t .
Name of person requesting inspection De '" V\. ,':s E.
Address of person requesting inspection c.,.,o"'(J YArd (7 ~ 5 Phone No. 417 - 'f 8<icr
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
Permit No.
Sewer Excav. Oth~"'- -te.)
INSPECTION NOTES:
Inspected: Date It. &'-05' Time
Remarks: r<ef.J4:r le<....k ~ t ~urb
"To -rk ' Sovt-h. .
II AM.
5 +-0 f a.v<..d
By [)e"",:s E.
5' o-f p.E.. "'Tuh,~
RESTORATION REQUIRED. . . . .. YES X NO;-
~ . p. ~ ,
I.E.. 2... Ol<P
Curb ._ ~
).::1:.
$-tof r;-~ 2."c I
+-
V) ~Zl~ 2i' O"-"-p
-
. tk ~ .-+1...
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,
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
5-W~,()0 0 Repaired by City
,;(0 '1/1 /\ P 0 Repaired by Permittee
J 0 No Damage Found
, I'
7><..1
~AsPhalt 0 PCC
Work Order #
o COMPLETE
o INCOMPLETE
o Other
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