HomeMy WebLinkAbout900 Driftwood Dr - Special Inspections/Field Verification - 01/16/2008Fort Collins Building & Zoning Department
281 N. College Ave. • P.O. Box 580 • Fort Collins, CO 80522-0580
Voice: 970-221-6760 • FAX: 970-224-6134
City of Fort Collins
Field Verification Form
Job Site qoo pr'iftwvoJ Dr Permit No. 80SOOT$3
Company Name W-sic r^l F+ r{,14e-a City of Ft. Collins Lic. # I-
Svpp 9
Replacement of Sewer Line approx. ft. (100 ft. maximum)
Replacement of Water Line approx. ft. (100 ft. maximum)
Add _Replace Gas Line approx. ft. ( 50 ft. maximum)
Materials used: 3 81 31y" 6-ns it fe- 3' 81 k
Tested at Is- Ibs
Installer Name (print) S+tv{ Al
for 2,!� minutes
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Installer Signature 'A rl-� IL 4wy Date i ' M ' 0 $