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1316 Morgan St - Special Inspections/Field Verification - 12/19/2001
Communi City of Fort Collins and Environmental Services Building and Zoning Department -�5o i 09,1)V') FIELD VERIFICATION FORM JOB SITE i 2j 6 6 1210n PRINT INSTALLERS NAME INSTALLER'S SIGNATURE PERMIT NO.j COMPANY NAME a tCV1� ^ CONTRACTOR'S LICENSE NO._ I verify that I have installed _ 361 1 (feet approximately) of gas pipe, tested at S— minutes. © pounds for 2. 1 verify that I have installed A 401t which complies with manufacturers installation instructions and all applicable codes.