HomeMy WebLinkAbout1011 - 1124 Grant Ave - Engineering
CITY OF PORT ANGELES K-tz.\eor
DEPARTMENT OF PUBLIC WORKS
. . .. .. INSPECTION REPORT. . . . . . . . . . .
7
REQUEST:
Date
11- ::l7-00
Time
tJ-JVI
.
Received by 7),1/ CS "" V-~...c:L(Phon~)
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Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
Phone No.
Permit No.
Sewer Excav{!>theV ?I-eSSOl ore. -res I
Final
INSPECTION NOTES:
Inspected: Date 1 I -::l 7-0 0
Remarks: . "P...... ""'"' NO -I-e..sT t>.... n-P I, \
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RESTORATION REQUiRED...... YES
Time
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel o Asphalt
o PCC 0 Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE