HomeMy WebLinkAbout1020 W 11th St - Building
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date i, 2-<7 -o,? Time I p/V\.. Received by 0'6,,>1 {'s E, (phone. person)
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Location of Work to be inspected /D 2-D cU. ((-
Name of person requesting inspection f}eh 11 ,- 5 E.
Address of person requesting inspection ~ /' (J ~ ,j) t'1</- B Phone No. if t7 - 'f~'1
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Type of Inspection (circle appropriate one): Permit ~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Ot~ W~,--+"-r.
INSPECTION NOTES:
Inspected: Date /- 2-) - D g
Remarks: /<2,e ,t)c:... t, ~ J' 2 "
I
Time 2
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c" , lVLo.. , V\
f? IV1. By () <'<1 V1 ~ 5 E...
l:J ru-, k. w " r- t... ""- ry" ,'r b....""J.,
RESTORATION REQUIRED. . . . .. YES
NO X
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0. (/- 5-r ,~
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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 # 303i{ Z. - ( '" C,.
o COMPLETE
o INCOMPLETE