HomeMy WebLinkAbout208 W 6th St - Engineering
REQUEST
Date t( -- ZZ -O~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . . . .
PM
Time (Z- OD ~Received by D.eVlf'1tS C (phone, person)
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TL
Location of Work to be inspected 2D'if W ~ -
Name of person requesting inspection V-Rt-l f1 (5 E -
Address of person requesting inspection C.o r"IJ 'YCA..- r J
Type of Inspection (circle appropriate one) I
Phone No tf ( 1- <1849
Sewer Foundation Framing
Permit No -
Chimney Plumbing Final Sewer Excav ~;tJ~
INSPECTION NOTES
Inspected Date t.f- - Z Z -o~
Remarks Re ~c"'-\ >- Z ( C. - T .
,
Time 2.- Plvt By O~vt vt IS r:==.
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RESTORATION REQUIRED
YES X NO
o Repaired by City
[] Repaired by Permittee
o No Damage Found
OPCC ~Other S-IJei.-Ja.. (k
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Work Order # ('382 -OLD ftJ
m COMPLETE ~ \<i~ wr_\'k_ ~~~),,,\I;-l:'(\
o INCOMPLETE 1-lb-QL\ ---r1<-..
SURFACE RESTORATION
SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt
STREET SUPERINTENDENT
(DATE)