HomeMy WebLinkAbout222 S Vine St - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
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Date
Time
I ( .- :> 0 AJ.A Received by De., M: 'j E ' (phone. person)
location of Work to be inspected 2 L L So VI ~
Name of person requesting inspection {)'e.~ vt /"j IE-
Address of person requesting inspection L-.o"--JO ~ rll { 7<:1-15
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Type of Inspection (circle appropriate one): .
Sewer Foundation Framing Chimney plumbing Final
Phone No. 'In -'f?'f'l
Permit No. ~
Sewer Excav. OtheCt-J
INSPECTION NOTES:
Inspected: Date "1- z.. -0 S-
Remarks: ;<2ep'~;r (" 6'-'-.(v.
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Time ( .- 5 0 f1 fv\.. By i/-e., '" i ".,
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RESTORATION REQUIRED . . . . .. YES X NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
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~Asphalt
Work Order #
txf C MPlETE
o INC ETE
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o Repaired by City
o Repaired by Permittee
o No Damage Found
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