HomeMy WebLinkAbout509 Remington St - Special Inspections/Field Verification - 08/17/2004AUG. 17.2004 9:49AM ALIEN PLUMBING&HTG N0.302 P. 2
Fort Collins Building do Zoning Dept.
281 N. College Ave. a P0. Box 580 a Fort Collins, CO 80522-0580
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mob Voice: 970-221-6760 - FAX: 970-224-6134
Field Verif ication Form
Job Site o F Permit No. _ i5 OV6 16 2
Company Name_—kj-,.rA1 4Um81,&j6 City of Ft. Collins Lic. # 10010
Replacement of Sewer line approx._. 5a ft. (100 f t. maximum)
Replacement of Water line approx, ft. (100 ft. maximum)
Add. Replace gas line approx. ft. ( 50ft. maximum)
Materials used: a (_ri-4 ,t
T
Tested at
Installer Name
Installer Signature
lbs. for minutes
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s
Date 3 -z