HomeMy WebLinkAbout2602 Timberline Rd - Special Inspections/Field Verification - 03/29/2011_71.77, Fort Collins Building & Zoning Department
JAN" 281 N. College Ave. • P.O. Box 58
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Company Name Pt&hAVic}:14M,,)�14 City of Ft. Collins Lic. #
Replacement of Sewer Line
Repla7Replace
ant of Water Line
Add Gas Line
Materials used:
approx.
approx.
approx.
ft. (100 ft. maximum)
ft. (100 ft. maximum)
ft. ( 50 ft. maximum)
Tested at J l^. lbs. for minutes
Installer Name (
Installer Signature Date 1