HomeMy WebLinkAbout3628 Meadow Cir - Building
~~~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date) - /7, 0 b
I
0.<-----;
....
Time
/ ; {TLJ P,i/I
Received by
7/7
~....r--.
(phone~
Location of Work to be inspected ,3 {,,:;Z?3 r7li?~ de? ,.J c.-,'r,
Name of person requesting inspection LJa tel ()iv
Address of person requesting inspection /703,58/5 ,<,/ Phone No. (/17- </<;f'1y
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. 8 (~c?Lfe/
INSPECTION NOTES:
Inspected: Date ') r (7-00
Remarks:
Time
...., ':TV /J
,) . c: f/J1
By
7/7
d" cJ
;'/1(// ,~ 15 r e'l k
RESTORA TION REQUIRED . . . . .. YES NO X
-
, c de; c
Carl YOil
4:"Ac.
iT -
<,
\)
i\ ")
0
1'1'6' ~
...L ~
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved ~GraVel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # ]cJ37'; - c;;J8i
A COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STRF-F-.T_~I.IDt:OI""I:r.~a.....-"'.-