HomeMy WebLinkAbout604 MONTE VISTA AVE - SPECIAL INSPECTIONS - 11/21/2006on
Fort Collins Building & Zoning. Department
281.14: College Ave.* P.O. Box 580 - Fort Collins, CO 80522-0580
Voice; 970-221-6760' - FAX: 470-27.4-6134
Cilvof lbrt Collihs .
Field Verification Form
Job Site (,@L l ' f--\o .-Ac- C) Permit No. A:50 (vG S S C f
Com an Nam p<a. s Giy of Ft. Collins Lic.
Rot acement of Sewer Line approx. ft. (100 ft. maximum)
Rep acement of Water Line approx, ft. (100 ft. maximum)
Adc Replace Gas Line 'approx. i ft. ( 50 ft. maximum)
Materials used: 13 '�� S -!S C . �:�4 .k. c
Tested aj Ibs. for U minutes
Installer Name ( rint) a K
F Installer Signal Date (l I "('
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