HomeMy WebLinkAbout602 Edwards St - Special Inspections/Reinspection Notice - 02/15/2012City of Community Development & Neighborhood Services
Fort Collins 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'�O' -- Permit No. P) i,Ayo r7D
Company Name l,) —% tl2r.l City of Ft Collins Lie#
Replacement of Sewer line approx. ft. (100 ft. maximum)
Replacement of Water line approx. ft. (100 ft. maximum)
Add Replace gas line approx. L4-S— ft. ( 50 ft. maximum)
Materials used: b wNC-%&
Tested at ,`}q Lbs. for _ minutes
Installer Name (print)Ott
Installer Signature Date