HomeMy WebLinkAbout2003 Mt Pleasant Rd - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . INSPECTION REPORT. . . . . . . . . .
REQUEST:
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Date 7 0
Time / /':? D 41'VlReceived by
(phone. person)
Location of Work to be inspected ;2 cXJJ/.7c?os l;rI'7 /1e<rsa~/7 /!J
Name of person requesting inspection UJqf(' f tli i/
Address of person requesting inspection / 703 5 <> g Phone No. if ( 7 - (I'ff ('7
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. G' ~C( ie ~
Inspected: Date
Remarks:
INSPECTION NOTES:
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,
Time ),},] ~ Pm By 7/7
y
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RESTORATION REQUiRED...... YES
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of'
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NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved~ravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # ]'03 '/6 -e3:2.
)g COMPLETE
o INCOMPLETE
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