HomeMy WebLinkAbout4700 CHIPPENDALE DR - INSPECTION RESULTS - 11/3/1999INSPECTION RE ORT TR_5a
Fort Collins -Loveland Water District Permit # Q�G
South rt Collins S itation District N_ 4239
Water[�F SeweUPP/F
G Date Scheduled Date
����'Y' .ter
Time Scheduled Time
Taken By Customer Contact Requested Y / N
Person Making Re ueo Affiliation
Phone Number - H/W Account#
, qq�� Add r Locati��/ ��y iot(:2-3- Blk
WATER SERVICE LINE MATERIAL 3�of h B I i �l DUSCi
SEWER SERVICE LINE MATERIAL rvu
STOP BOX OR METER PIT LOCATION
20, co
t /n�
IS STOP BOX OR METER PIT LOCATION OUT OF DRIVE VN
WATER SERVICE DEPTH SEWER SERVICE DEPTH -
REASON FOR FAILURE
DRAWING Indicate North
g700 C�IPG eJalr- �r,
L4,�Drw
tG y
C�af^aqc�
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COMME TS:
RECEIVED B DATE BY
RETURN COPY TO BUILDING'It)JSECTIONS DEPARTMENT
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