HomeMy WebLinkAbout2437 Newport Ct - Special Inspections/Field Verification - 07/01/2009Job Site
Fort Collins Building & Zoning Department
281 N College Ave • PO Box 580 • Fort Collins, CO 80522-0580
Voice 970-221-6760 • FAX 970-224-613
Field Verification Form �g
y3 7 /r/ec%o
Permit No a9o31�
Company Name Olot'<Ao 101v mo67/17y City of Ft Collins Lic #
Replacement of Sewer Line approx ft (100 ft maximum)
Replacement of Water Line approx ft (100 ft maximum)
Add _ Replace Gas Line approx 0 ft ( 50 ft maximum)
Materials used - 69s' l A
Tested at / U Ibs
Installer Name (print)
for „?0 minutes
�nct"a
Installer Signature � rA& Date 6;21-