HomeMy WebLinkAbout4306 CAPE COD CIR - SPECIAL INSPECTIONS - 1/20/20122012-01-25 18:22 A CLEAN SWEEP LLC 9703527089>> 970 224 6134
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Fort Collins Building & Zoning Depa. bimn
MI N. CnIlege Ave. 6 P.O. Sm SM * Fort Collins, CO SW224M
MAm. 970-221.6760 - FAX: 9MZZ"IU
Field Verification Form
Job Site Permit Nn.
Camp" Name t(-Qity o' . R. Collins Lic. #
RQpUK4efTMn1 Of Sewer Line apg)rox ft. (100 ft. 1wimum)
FleplecamlariR of Water Line apivvc ft. (100 ft, maximum)
Add ... Replace Gas Une apprax. I
ft. ( tio ft. maximum)
Materhk used:
Terad at lbs for L& minutes
InsiMer Name (print)
Installer Signature
Date 2,