HomeMy WebLinkAbout302 E 9th St - Building
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . INSPECTION REPORT. . . . . . .
REQUEST:
Date 7 - / ) - 0 G
Time
:3 ; dO JJt'h
I
Received by
717
~on:Jerson)
Location of Work to be inspected '30d- f c; 1 ~
Name of person requesting inspection vJ.,J- e r a,/.
Address of person requesting inspection 170 S ,<:; c>
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
L?sT
Phone No. 'it7- 1'8Y7"
Permit No.
Final Sewer Excav. ~ cJe... fe .r
INSPECTION NOTES:
Inspected: Date 7-1<) -oG
Remarks:
Time "3::3 () II"'!. By 7/7
,
340\ se/</tc. e 1&:.1
tu1l?we2.. OO,4't rJ1a,,, 10 r?1el-~r
AOI"()'t 5' y: 7' G'.;T 1"1 4::>lJI.4If.
I I
RESTORATION REQUIRED . . . . .. YES ')( NO
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.~
.......
\..l
/0"(,[ Y' IV"'+c .
9n~ ~
,
'0
.co ;;I'c.}:
T
18'
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel }( Asphalt D PCC (XI Other
o Repaired by City Work Order # :3 03 '/ {, - /17
o Repaired by Permittee M COMPLETE 3'1/05- \
o No Damage Found" 'INCOMPLETE I
,',.)E~f fo~ ~l.
23/
-; /. /06 j.t=:-
STREET SUPERINTENDENT
/O.IJ.5o./
,
4.U--
q/7
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(Continue on reverse side if necessary)
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . . . . . . . . .
. . .
REQUEST:
Date {, - ;;; 3 - (/ G
Time ;;3 : o7J /1.4/1 Received by
7/7
8perso~1
Location of Work to be inspected :] 0 c? E q 7 L
Name of person requesting inspection 0c/ to t C r tJ It/.
Address of person requesting inspection .I 703 .5 t? R 51 Phone No. 'f ( 7 - ,/<{"I9
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. e ?Ve<.-f@/
INSPECTION NOTES:
b-lJ-o b
Inspected: Date
Remarks:
() ,\. #,r,'" .hle~k .
,
Time
/ ; JO. tl.fl^
I
By
/17
,e/7a,'/-e2. (.Jrfl..
,
r ')/7a, r b44 d
RESTORATION REQUIRED. . . . .. YES V NO
,
~
-
10" (,I ? . /0" AL
q!i:- ~\ 'oJ
~
,
~ ....,
V) H'~ .,."c.r
.:::s p, ~
-s;:,
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt
o Repaired by City
o Repaired by Permittee
o No Damage Found
o PCC ]\/( Other I~ I So.' /
r I
Work Order # :Sv3<J;?-07')
o COMPLETE
% INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
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