HomeMy WebLinkAbout1116 W Magnolia St - Inspection Results/Field Verification - 03/30/2004n
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- Fort Collins Building do Zoning Dept.
281 N, College Ave. - P.O. Box 580 - Fort Collins, CO 80522-0580
Cityof Port Covens Voice: 970-221-6760 - FAX: 970-224-6134
Field Verification Form
z Job Site 1 ! W & Permit No. 7f
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Company Name __ Lt Viil� I ►'t!'! -�W City of Ft. Collins Lic. # P- C-),//
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4 Replacement of Sewer line approx. ft. (100 f t. maximum)
Replacement of Water line approx. ft. (100 f t. maximum)
Add :, _Replace gas line approx, f t. ( 50 ft. maximum)
Materials used: L� ��J C Kid ► ��
Tested at lbs. for minutes
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Installer Name (print)
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Installer Signature
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Date -