HomeMy WebLinkAbout1136 Campbell Ave - Building
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
. . . . .
REQUEST:
Date 6:, -1'1 - 0 b
Time
Received by
(phone, person!
Location of Work to be inspected / 13 G, c'. Am (J h ...// (/-{/f.
I
Name of person requesting inspection C; ~ i o-C- P. A.
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): (:) $; -/:1-
Sewer Foundation Framing Chimney Plumbing Final
INSPECTION NOTES:
Inspected: Date ~ ~ I'{ -Vb
Remarks: LoV\. -l: voAc k ~ t '" C-Ak-J.
",J,f, l-e. &.0~ V'~ II Pvc
Q. -,;1.70 I west 0< V1'\. (~
/ i?L!Z /J lA/!' f
Time By '?~ rl
s-eCU-<',-VYCQ""-J c..[lrieef' 'T"J0s-/-K1-[["'d, ,-/11
-l--l-<. -e s; i I "'-- '-l I' fv<:.. ""I-- H;-o"A
u.--J p 0 Y' -f-,or os h
NoH [ t 3(", ~04 "'" r? l,'e[{ L-UiA~ e.oVl."-~e. L", J +.e, II 3 'I <" A >vt:0 I,,, / / (bl 0-.) ( J
RESTORATION REQUiRED...... YES
NO 0<.
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fVfJ-vlf'f"C- -(o fit-- L
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l
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13(-<3>;1/'7
4 "Ivr-.
/
1/3b
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~
~
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
IDATEl