HomeMy WebLinkAbout3361 Sam Houston Cir - Special Inspections/Field Verification - 02/15/2007I
Job
Fort Collins Building-- &: -Zoning Department
281 N. College Ave. • P.O. Box 580 • Fort Collins, CO 80522-0580
Voice: 970-221-&760 • FAX: 970-224-6134
Field Verification Form
Permit No.
Name ,/l�� AW City of Ft. Collins Uc. #
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_;Replacement of Sewer Line approx. ft. (700 ft. maximum)
_;Replacement of Water fine approx. ft. (1400 ft.-maximum)
)Add Replace Gas Line approx. 'f'O fL { 50 ft. maximum)
iSed:
t6d at / r lbs. for Co minutes
apie (print) 7bA41/0 _RYAW
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