HomeMy WebLinkAbout1497 S Taft Hill Rd - Special Inspections/Reinspection Notice - 07/11/2011Fort Collins
Community Development & Neighborhood Services
281 N College Ave; P.O. Box 580; Fort Collins, CO 80522-0580
Phone: 970 221 6760 FAX: 970 224 6134
Field Verification Form
Job Site _�� t l �?avfh /n
Company Name Ar�k"'j "Srv%CQ
Replacement of Sewer line
Replacement of Water line
Add Replace gas line
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Permit No. 3 /16 3 /mod ,
City of Ft Collins Lic#
approx. S70 ft. (100 ft. maximum)
approx. ft. (100 ft. maximum)
approx. ft. ( 50 ft. maximum)
Materials used: Sjjule 1 R C
Tested at
Installer Name (print) ulj
Installer Signature
Lbs. for 15— minutes
Date
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