HomeMy WebLinkAbout947 FOSSIL CREEK DR - SPECIAL INSPECTIONS - 3/3/2011art` C`l'�
Community Development & Neighborhood Servi...
281 N College Ave; P.O. Box 580; Fort Collins, CO 80522-05&.
Phone: 970 221 6760 FAX: 970 224 613-:
Field Verification Form
Job Site r/vsS L C At Permit No ` -
Company Name��/� /- C i�z ����1 / City of Ft Collins c'#
Replacement of Sewer line approx. ft. (100 ft. maximum)
Replacement of Water line approx. ft. (100 ft. maximum)
Add Replace gas line approx. (34::F! ft. (50 ft. maximum)
Materials used:
Tested at
Installer Nar
Installer Sig
Lbs. for minutes
Date 3 r3 0011