HomeMy WebLinkAbout3103 McDougal St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 7 - ). / - 0 b
Time ? ; UV {} j/J/l Received by
I
//7
~erson)
Location of Work to be inspected J Jo3 (lJC//c"J/a I
Name of person requesting inspection c....J ",,!-e / f}1'; ,
Address of person requesting inspection I 7(./ 3 5'" l? "Or
Type of Inspection (circle appropriate one):
Phone No. <117./ o/'i?f'9
.
Sewer Foundation Framing Chimney Plumbing Final
Permit No.
Sewer Excav .(6~ {(.I' .Jo.-fe.r-
Inspected: Date
Remarks:
INSPECTION NOTES:
)-).).-06
Time 7iU"D .1~ By 7/7
CJ" cZ: ~F'h h/-e..k f.:jl"'lJ'C--c "'--'/!{ 6S /fo/Cd/ bq"".!.
RESTORATION REQUiRED...... YES NO Y
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c-..... ,
~ d LaW/phell
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VJ ~"C.L .
SURFACE RESTORATION:'
SURFACE TYPE: ~ Unimproved DGravel
D Repaired by City
[] Repaired by Permittee
o No Damage Found
D Asphalt D PCC D Other
Work Order # :10 J '1.2 - /D /
1)t' COMPLETE
tJ INCOMPLETE
(Continue on reverse side if necessarvl
STREET SUPERINTENDENT
(DATE)