HomeMy WebLinkAbout4437 WATERLEAF CT - INSPECTION RESULTS - 11/16/2004Fort 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
City of Fort Collins � �
Field Verification Form
Job Site 4 43-7 yA�/s2C.�s,�j� U- Permit No. 10 40109/,9
Company Name ►MCA q)�,m ijuU 4A ! AC, City of Ft. Collins Lic. # ,✓P ; 9(e
Replacement of Sewer Line
Replacement of Water Line
Add _ Replace Gas Line
approx.
approx.
approx.
Materials used: r"Ac -q-f7) /-C$-�
ft.
ft.
(100 ft. maximum)
(100 ft. maximum)
( 50 ft. maximum)
Tested at _ - / (0 lbs. for 1:5 minutes
Installer Name (print) -'� �� Q,-b ; ,/9C-4)
Installer Signature e-13„ �(_,, Date //