HomeMy WebLinkAbout2901 Ninebark Dr - Special Inspections/Field Verification - 04/27/2006I. UWI/ uu1
Collins Building & Zoning Department
281 N. College Ave. • P.U. Box 580 a Fort Corns, CO 8W22-0580
Voice: 970-221-6760 • FAX: 970-224-6134
CW of Fort C rains
Job Site
Field Verification Fnrm
Permit,
Company `
rn n Name �N b m £ Ok6;A-A City of Ft, Collins uc. #
Replacement of Sewer Line approx ft. (100 ft. maximum)
Replacement of Water Line approx 'moo ft. (100 ft. mauc(mum)
Add _ Replace Gas Line approx. ft. (50 ft. maximum)
Materials used: f„rv, c9.t— f ..
Tested at o lbs. for SeD minutes
Installer Name (prii
Installer Signature
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