HomeMy WebLinkAbout927 JAMES CT - SPECIAL INSPECTIONS - 12/20/2010City Collins.of Community Development & Neighborhood Services
-Mort 281 N Col lege Ave; P.O. Box.580; Fort Collins-, CO 80522-0580
Phone: 970 2216760 FAX: 970 224 6134
Field Verification -'Form
Job Site Permit No.
Company Name - ktb W-fj - -9�er vic-,.e.- City of Ft Collins Lid# /�R2.
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/K- Replacement 6f Sewer line approx. fL (100 ft. maximum)
Replacement of Water line approx. ft. (100 ft. maximum)
.. Add Replace gas line approx. ft. (50 ft.
Materials Used,
---M ----------
Lbs. for minutes
Installer Name (print) /j ado
Installer Signature
Date