HomeMy WebLinkAbout4112 MOUNT VERNON CT - SPECIAL INSPECTIONS - 1/29/2013a
x
Y
n
N
d;
m
m
N
Lr)
N
V
m
��� �f''t�1 �'✓Li�_.Jl"'wi'ii'i •x�-P�;,P ��';��''f..'�'ix..�J.��a_::�.%•.��w`�i.i�'�. �: S.��r�-iN��d."R' __ _ ..d .:��'�S'- '%` �
FCity. of Community Development & Neighborhood Services
ort Coltins 281 N College Ave; P.O. Box 580; Fort Collins, CO 80522-0580
'-, Phone: 970 221 6760 FAX: 970 224 6134
q ,,/� I r/ Field Verification Form —�I --c,L
-Jodi site -7 �f Z (//7�r U p�InBf/i GT. Permit f —0 Z bb � L
{.. Company Name C4 of Ft Collins Lic# l��3
Replacement of Sewer line
Replacement of Water line
Add Replace gas line
Materials used: e—f,>s/�—�
Tested at /0 lLbs.
Installer-Mgme {print} (:j�
approx. ft. (100 ft. maximum)
approx. ft, (100 ft. maximum)
approx. 3_ ft. (50 ft. maximum)
for 3CJ minutes
ay
Date