HomeMy WebLinkAbout1339 W 16th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date '7 - ,?D -0'7
Time 7 filM..
Received by Doe.......;, C, (phone, person)
? Cl. ' I-tl..
Location of Work to be inspected ( ~"3 I lJ. 11C-
Name of person requesting inspection L:>e.....""--'., E::..
Address of person requesting inspection ~ of Yo-.,J.
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
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Phone No. 'fll -o..(8'-{'i
Permit No.
Sewer Excav. Other(0lL ~~
INSPECTION NOTES:
Inspected: Date ( - 30 .' 0 I Time "1 t'l "'""-
Remarks: ;:-."e.J. "1/-(" $..LrV"~.e.. le.<>-.k .::;.+
By b.e,^-~l!; E.
u,-r ~ 51-., f .
RESTORATION REQUIRED. . . . .. YES
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 30" t/b-ZOC.
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
SIREET.SUP.ERINIENnENI
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