HomeMy WebLinkAbout601 Whidby Ave - Building
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 12- -I ( -010
Time
II 11W\
Received by be..",-.:; E. (phone, persoll)
Location of Work to be inspected bO 1 E. wt...,lloev AJ<2-.
Name of person requesting inspection ~ "l'S ,c-. I
Address of person requesting inspection Lo r /J Vo..,,ji 17ot:-B Phone No. '117 - '1-'8'('1
Type of Inspection (circle appropriate one): II Permit ~ . ---;:
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Ot~~<..--ter')
INSPECTION NOTES:
Inspected: Date I Z -I( - 0(.
Remarks: t2e,4:;..'-rec.l 2.." C.r.
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. D' i-~ O<,....r .
,
Time
Pit.L
, I
'-f PM By /Je"" n. ,'S E -
-;-h.c~t -{?eedS ?i: 2." Serv( Le...
~I
RESTORATION REQUIRED...... YES X NO
L'IOI'\5 Pt:tr k
00{ E.. vJk,d ),"''(
vJ~'l.(d be.y A\/'<'
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- 12.9
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel
D Repaired by City
D Repaired by Permittee
o No Damage Found
(,~fo
.;gJ,Asphalt D PCC D Other
Work Order # 303i{Z -115
~COMPLETE 3j;:2/()~ ~SSI(-S
D INCOMPLETE ~~I,i
-JO S-/r-ee-l 1;;>.-J8~Dc::'
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)