HomeMy WebLinkAbout1631 Barnwood Dr - Special Inspections/Field Verification - 11/10/2014F®rt Collins
Company
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
DEC 0 9 2014
f?Y:_
replacement of Sewer line
Replacement of Water line
Materials used:
Replace gas line
cJ
eld Verification Form
Permit No. 6 13,�V3 zo
City of Ft Collins Lic# !nr - 67
approx. ft. (100 ft. maximum)
approx. GS ft. (100 ft. maximum)
approx. ft. ( 50 ft. maximum)
Tested at 44,14n. 9n� Lbs. for
minutes
Installer Name (print)
Installer Signature
Date