HomeMy WebLinkAbout3744 Hill Cir - Building
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date -c; - Z q - o,=>
Time
""':50 A"",- 1'\. .r
- I rr Received by j//e",,,-, 5 L. (phone. person)
Location of Work to be inspected 5144 Iii tf C/rcl ~
Name of person Irequesting inspection Ve v>--t;" ,c
Address of person requesting inspection u..-,o ra...-d 17 <f- B .
Type of Inspection (circle appropriate one): '
Phone No. 'f-t 7 - 484cr
Sewer Foundation Framing Chimney Plumbing Final
Permit No.
Sewer Excav. Othe@a..+e.v
INSPECTION NOTES:
Inspected: Date 6 - Z q r OC:, Time
Remarks: /2..elJ~ ,', Z" C_ L. vJ;+ I--
L-.ec...~ l0<<-,,> " +'0""- lI~lve...
I: 50 PM By Dew..:'::> L .
"'- 5.~. - re/Jo..,r bu...Vl..d,
,
RESTORATION REQUiRED...... YES
NO )(
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved GGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # '5034'?. -6"1"
o COMPLETE
o INCOMPLETE
I C^n'tinIIQ.nn.reverse.side.if.ne.c_essary)
STREET SUPERINTENDENT
(DATE)