HomeMy WebLinkAbout1923 Westview Dr - Engineering
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date '7- ) - 0 <)
Time
. I _
/ (c.IV tJrh..
.
Received by
(phone. person)
Location of Work to be inspected / q :l3 v./ e ';) (/floe.v
Name of person requesting inspection J""tt'/ M'o/_
Address of person requesting inspection / 7 () _~ s'" B
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
&J
Phone No_ L//7-Y<f;<-/i
Permit No.
Final Sewer Excav. ~.-../""'-! e .r-
INSPECTION NOTES:
Inspected: Date Lj - / - 0 c:;;-
Remarks:
Time '); dU Pr/L By' 71 7
,
;) \\ C]:.
I~''''-
b/-e..' ~U/Ad.dj Vvllt 5S "~// k_, j
I ,
G' X 16' (;<./T 1.vI.
q.5 iJ~ ....11-
I
RESTORA TION REQUIRED . . . . .. YES Y NO
c,~ I (J1 SI
1
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k
VJ .e'7/ ill e...-- ()r ~
to
6"Ac- ~
I
I
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
9(AsPhalt 0 PCC 0 Other
Work Order # )03 'I;). -0;;'7
o COMPLETE
yr INCOMPLETE
It""........:........ ...._ ............... ...:....... :4: ________..l