HomeMy WebLinkAbout1534 W 11th St - Building
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date .~-d 7~D0
Time "fr; cD A /Yl Received by
7/7
(PhOne~s~
I ~3 tl jZ
Location of Work to be inspected ~ I 4/ (I
Name of person requesting inspection Waft! r ai/,
Addressofpersonrequestinginspection /703 Sd /s sT Phone No. Cf/7-c;r;'/9
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ e-Jafe /"
Inspected: Date
Remarks:
INSPECTION NOTES:
-:s.;} 7-00
Time /1 c' r;rU --ffi1 By 711
[}-' l C-I rJ1:up\.. $( -evl j
'-/' sd, 'f)cJ (;Ie. ((.;2)
,>ellle i ,Mer
,.)" Or "5S d.s
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5e..-v"r 0<?rIl'IC-e
RESTORATION REQUIRED . . . . . . YES Y NO ..
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC" ~Other 10;-50,1
o Repaired by City Work Order # ~ 03r?- "0'6')- /
o Repaired by Permittee 0 COMPLETE
o No Damage Found ~NCOMPLETE
(Continue on reverse side if necessaryl
STREET SUPERINTENDENT
(DATE)