HomeMy WebLinkAbout1800 E Front St - Engineering
Time 7 fl h Received by [7<:'"''';50 t:.. (phone, person)
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Location of Work to be inspected It..v'V"\"-""" "TrA-<< ,'<- LS/<:;"l.\d
Name of person requesting inspection :De"., rs E.
Address of person requesting inspection Lo rf YCL".o 17"f. B Phone No. '-f 17 - 'f? <../ C;
Type of Inspection (circle appropriate one):
.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date ((~(C:,-64
Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date 11- 1 ~ -0 t./
Remarks: R e ;"'-7 PteioJ Z (,
Time
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RESTORATION REQUiRED...... YES)( NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
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-esAsphalt [] PCC [] Other
Work Order # Zc'??9/S-otJZ
[] COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
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