HomeMy WebLinkAbout1418 PTARMIGAN CT - SPECIAL INSPECTIONS - 10/5/2007Fort Collins Building & Zoning Department
281 N. College Ave. • P.O. Box 580 • Fort Collins, CO 80522-0580
Voice: 970-221-6760 • FAX: 970-224-6134
Field Verification Form
0
Job Site
Company Name
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Replacement of Sewer Line approx.
Permit No.
City of Ft. Collins Lic. # M io - /
ft.
Replacement of Water Line approx.
Add /Replace Gas Line approx. ft.
Materials used: -3/ y K - e�Ud O-t�i
(100 ft. maximum)
(100 ft. maximum)
( 50 ft. maximum)
Tested at lbs. for miOMPo^ 0 13
Installer Name (print) \Tn6]v, �A , 64K
Installer Signature
Date I b -1-` b `7