HomeMy WebLinkAbout1229 1/2 Columbia St - Engineering DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date _Time L~.',~,~w~. Received by ~ .. (phone, person)
Location of Work to be inspected ~ ?-."Z, ~ ~!~.~!.~/~-
Name of person requesting inspection ~ ~ ~
Address of person requesting inspection ~ - Phone No.
spection (circle appropriate one): Permit No.
oundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date Time By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved I~Gravel [~Asphalt I~PCC []Other
[--I Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
IContinue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:, |
Date~Time~ Received by /~-~- (phone, person)
Location of Work to be inspected /~--~/~ Z
Name of person requesting inspection . .~:~'
Address of person requesting inspection --'~'~Y~ Phone No.
Type of Inspection (circle appropriate one): Permit No.
cav. Other _
Sewer Foundation Framing Chimney Plumbing Fin
INSPECTION NOTE~: }
Inspected: Date ~Time~ By (~_'~.
Remarks:
RESTORATION REQUIRED ..... YE: __ NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel I~Asphalt ~]PCC [~Other
[] Repaired by City Work Order #
El Repaired by Permittee [-~ COMPLETE
[] No Damage Found [] INCOMPLETE
IContinue on reverse side if necessary) STREET SUPERINTENDENT (DATE)