HomeMy WebLinkAbout615 C St - Building
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . . . . . . . . .
REQUEST:
Date 10 - 12. - 0 c;"
Time
7Av-vt
Received by l)LiA<A.. <5 e:. (phone. person)
Location of Work to be inspected t; (~ 5 b. ''c'o ST.
Name of person requesting inspection f}e,t VI. I S f2.
Address of person requesting inspection Lev" tJ )1..rd 1'1 <t- B Phone No. .( (7-'-t8L( '3
1
Type of Inspection (circle appropriate one): Permit No. ~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Oth0-v+e~)
INSPECTION NOTES:
Inspected: Date 10 -I $ ~Ob
Remarks: f.)/j r~4~d +"
_~l-V\. fo~ 1.<A4L-t-e.,
Time 3~ 30 ~ IV\.. By
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RESTORATION REQUIRED . . . . .. YES
NO X
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel
D Repaired by City
D Repaired by Permittee
D No Damage Found
D Asphalt D PCC D Other
Work Order # 5()3<(f.,,-1~'Y
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)