HomeMy WebLinkAboutHurricane Ridge Service Rd - Engineering
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 9- '2-.'0 - of.{-'
Time 7 IT~
Received by UP! rt I'~ E. (phone, person)
. ..
Location of Work to be inspected~(b.~ -s;e~v'i~ RJ) 6(7 Huri/'~tI1..e.. R..i<5e: ((d).
Name of person requesting inspection ~V\. V\. , 5 t::-.
Address of person requesting inspectior6,-D zJ<\....-J 17t/...q..f) Phone No. tfI7-if.fV9
Type of Inspection (circle appropriate one): I Permit No, 04:::;. 0
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. 0 er U-{e;'-
INSPECTION NOTES:
Inspected: Date q ~ ZCJ -0 c{
Remarks: 12.. y <S CeD t-
Time 3 j:J M..
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RESTORATION REQUiRED...... YES).( NO
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~ Asphalt 0 PCC 0 Other
Work Order # 25Qz,"') -DOf :2.G'E.lbt:t\
g) COMPLETE I\~ \2~ t-~
o INCOMPLETE L~~'^' VP'T f,\l (
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
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