HomeMy WebLinkAbout1908 Corvid Way - Special Inspections/Field Verification - 04/16/2012Fort Collins Building & Zoning Department
281 N. College Ave. - P.O. Box 580 - Fort Collins, CO 80522-0580
haml Voice: 970-221-6760 - FAX: 970-224-6134
City of Fort Collins
Field Verification Form
Job Site i f Permit No. /J /2 U f 3 Sr -.,-
Company Name / City of Ft. Collins Lic. #
Replacement of Sewer Line approx. ft. (100 ft. maximum)
7. Replacement of Water Line approx. ft, (100 ft. maximum)
Add _ Replace Gas Line approx. ` ft. ( 50 ft. maximum)
Materi Is used:
Tested at /K� lbs. for 1� minutes
Installer Name (print) 'j vc-O ijIf n