HomeMy WebLinkAbout1125 Georgiana St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
o 0 . 0 0 . INSPECTION REPORT 0 .. 0 0
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REQUEST:
Date_ &'- 15 -07
Time
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/ ; l',) .IllA-\. Received by .1. I ~~.,;.r-i"'"'- (phone. ~erson)
Location of Work to be inspected 1{2:> ~.ec)Vj\~<..'-'-'--'
Name of person requesting inspection P-e VI VI ,.., ~ .
Address of person requesting inspection ~ r to f1-<.r "..0 Phone No. '/-17 -'I8'{ <1
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Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other I/J~::...1e i~
INSPECTION NOTES:
Inspected: ~te g .-/ '5-iJ "7
Remarlcs: ,,<, l?VL.e......J e.el 3/0( '.
Time
5e.~ vi L e
If)-:- ool}.~ By
if ~ .Fro>,,",,"
O.{J"'I'71S L .
i/<AJZ "0/> To t~ '+&2 0--,
RESTORATION REQUIRED . . . . .. YES
NO !>(
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel
D Repaired by City
D Repaired by Permittee
[] No Damage Found
D Asphalt D PCC D Other
Work Order # :503'11:- ~ 215-
o COMPLETE
D INCOMPLETE
(Coll1tinue on reverse side if necessary)
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