HomeMy WebLinkAbout927 W 14th St - Building
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date q.- r;, -UI
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Time
7 :]0 1111'7. Received by
7(7
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Location of Work to be inspected q () 7 &J j Lj rf...
Name of person requesting inspection L-Ja.te r a,/
Address of person requesting inspection J 7 (}.3 57 J? s r
Type of Inspection (circle appropriate one):
Phone No.
Lf/7 -t.fW9
Sewer Foundation Framing Chimney Plumbing Final
Permit No,
Sewer Excav. ~ Uc....te/
INSPECTION NOTES:
Inspected: Date r:-'7?.:- b---:iIJ~
Remarks:
Time
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{
By
7/7
3.4 .5 PI via' / en f
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RESTORATION REQUIRED . . . ... YES V NO
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VI
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
9(AsPhalt OPCC . jOther (,u,b
Work Order # )03 ' - CJI3 r
~ COMPLETE '(/~l//()7 ,..P' 'Y ~
~ INCOMPLETE t1/r"i?
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(Continue on reverse side if necessary)
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