HomeMy WebLinkAbout6308 Tilden St - Special Inspections/Field Verification - 01/03/2018/02/18 11:43AM MST Aspen Plumbing Services, LLC —>
34 Pg 2/2
970224
Q tot�'n$ Community Developmeft & Nelphborhood Servletes 281 N College Ave; P.O. Box 580; FOIt.Colllns, CO 80522-0580
MOM: 970 2216760 FAX: 970 224 6134
Field Verification Form
Job Site 43Cr� •T ildL,-. s r Permit No. I? �n
Company Name 45 Cityof Ft Wlft L" /�/" '76-5"
Replacement of Sewer line approx, ft. (100. ft, maximum)
_ Replacement of Water line approx. ft. (100 ft. maximum)
Add Replace gas tine approx. _(,� _ fL ((60 fL maximum)
Materiala used: /17 " M 4 lam) pp 49
Tested at Lbs. for minutaa
Installer Name (print)) 1�0 w NbC 6 c2 .
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Installer Signature Date l t 11OLl7