HomeMy WebLinkAbout508 HUNTINGTON HILLS DR - SPECIAL INSPECTIONS - 6/9/2011FCity. of
ort Collins
Job Site
Company Name
Replacement of Sewer line
Community Development & Neighborhood Services
281 N College Ave; P.O. Box 580; Fort Collins, CO 80522-0580
Phone: 970 221 6760 FAX: 970 224 6134
Field Verification Form
0/0 'r--c Permit No.
City of Ft Collins Li n
approx. ft. (100 ft. maximum)
Replacement of Water line approx. ft. (100 ft. maximum)
*dT- Replace gas line approx. ft. ( 50 ft. maximum)
Materials used: 44'<l /)9, 114 /U`L.
Tested at ?—b Lbs. for �i0 minutes
Installer Name (print)
Installer
Date