HomeMy WebLinkAbout411 E 10th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . . .
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REQUEST:
Date L - 5 -0<"
Time {Z-: ~l> PM. Received by D~""q:s E (phone, person)
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Location of Work to be inspected tf ( ( E /0-
Name of person requesting inspection tJeiA.v<. ,"., E.
Address of person requesting inspection Ccr,o Yo...nf) {, C/r 15 Phone No. 'I- (7 -4:;;,{~
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Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other W",,- +e.. r
INSPECTION NOTES:
Inspected: pate . Z - 5.:0 ~ ~
Remarks: f!e"~lr z c..l.
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Time
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z '. ; 0 {J I-v1. By f)eiA.."'-""; L.
,w: +l 7. t. -s,.s,. ,eDCo-: /' 0<\.V\..d
O.D. 2.35"'-Z.b<:>
RESTORATION REQUIRED . . . . .. YES )c NO
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l D Z t, C..T. 0 .t-:
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o Repaired by City
o Repaired by Permittee
o No Damage Found
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o PCC ~ther Covtc.re-f e.
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Work Order # ~034. 7...--07l..
CteJ' COMEI,EJE :34liW
o INCOMPLETE
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt
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(Continue on reverse side if necessary)
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STREET SUPERINTENDENT lDATEl