HomeMy WebLinkAbout6100 Normandy Ct - Inspection Results/Gas - Log, Line, Pipe - 08/25/2005CD
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Fort Collins Building & Zoning_ Department
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281•N: College Ave.! P.O. Box 580 a Fort Collins, CO 80522_0580
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Voice; 97(-=-6760 ' • FAX: 970-22A-6134
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Field Verification Form
_ Job Site
- T Perna it No,
Company Nam
5 City of Ft. Collins Lic. # b
e R ' a�ement of Sewer Line approx. ft. {100 ft. maximum)
Re acement of Water Line approx.
a ePP ft. (100 ft. maximum)
Ad Replace Gas Line approx. ^( �, t ft. ( soft maximum)
Materials used:
EL Tested a, lbs. for
minutes
Q' Installer Name ()rint) y1 k2l U
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ctii = Installer Signal re Date
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