HomeMy WebLinkAbout1034 E Park Ave - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date ~ -L-J rO-f"
!"
. "
Time 3; 30 fI""",
Received by Dt'-VL"l' ~ €
(phone, person)
Location of Work to be inspected 10'5 <I E-, PAR Ie
Name of person requesting inspection De,~ vc ; s [2" .
Address of person requesting inspection CortO' )/o..,d. Phone No. 1(( l r <l8~5
I
Type of Inspection (circle appropriate one): Permit No :::---...
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. OthCtJ~
INSPECTION NOTES:
Inspected: Date Err 25- 0 S-
Remarks: /1e .16t,',-- 6'-0 ke ""
,
Time 1: ~D
,. fJ.~. ,,,.It'+4..
fJ I'V1. By f)c.i-t"'-. oS E.
i" IZE. Al1..d CDwcf V,\.; 0 lAc:"
~
RESTORATION REQUIRED
YES
NO ><
..e- 0.... .
Tl tfj
"7,{.:
~V)
,
~ , !>~ 8" o.r.
lfOD
~'
-
..l:. .
'~
fJc..r k. ')i;'0
E .-
...."
~
,
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel
D Repaired by City
D Repaired by Permittee
D No Damage Found
D Asphalt D PCC D Other
Work Order # 303'-{(.,,-0(;,c'
D COMPLETE
D INCOMPLETE
1~1't."'+:"""''''' "'.... 0'.................. ...:...a.....:.J .......................~..\