HomeMy WebLinkAbout4506 Bluefin Ct - Special Inspections/Field Verification - 01/17/2008Fort Collins Building & Zoning Department
281 N. College Ave. • P.O. Box 580 • Fort Collins, CO 80522-0580
Lma�I=Uji Voice:970-221-6760 • FAX:970-224-6134
City of Fort Collins
Field Verification Form
Job Site LjSUt&- 3LVE F+ nl C1'T-- Permit No. BD?C? 1 S (e
Company Name rj ESTEPW 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. ft. ( 50 ft. maximum)
Materials used: -- 114 P"-j 7 11 z (3►-.ACC i aot-j P, P E
Tested at IS
Installer Name (print)
Installer Signature
lbs.
G ?6� 2y
for 3O minutes
3�)Pv
Date 1 1-7-0$