HomeMy WebLinkAbout4704 Old Mill Rd - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date If - 8 - 0 <)
.
Time (Iltvt
Received by
,U.eK.-tis E. (phone. person)
Location of Work to be inspected c{ 10 <I t) (cl /4.1 (II I!.d,
Name of person requesting inspection P-c vtvt f;" F.,
Address of person requesting inspection U,Lrf Yo.-,l.. It<t-F7 Phone No. 1.1 (7 -lff{l{<1
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Oth~GL+e0
INSPECTION NOTES:
Inspected: Date ( I - q - 0 5
Remarks: E Kf-evl f z" (2V.C-.
Si?rJ(c €.. .
Time 5 (J iv1.
-ro <{,o,-+ old
By
~0.~ I (
0;:"1'/($ E.
+0 r C\ I\.eev
" .
( )I. 'l"S'
RESTORATION REQUiRED...... YES NO
. . . 172'
i x 0/;;, 5" rJ'''''-
2"v,t<
\la..tv'L
i" -g1t"J ..---+ "'-II'
oFF I'
Z"P.v,c
. . ()
z.... up
c, . A.c...
,M'Oof>
Old yv(,'1I /2d
r CIty l;",ih
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt
o Repaired by City
D Repaired by Permittee
D No Damage Found
o Other
Work Order # L(.?21.b-OO (
D COMPLETE
o INCOMPLETE
OPCC