HomeMy WebLinkAbout412 SMITH ST - SPECIAL INSPECTIONS - 10/12/2016Fort Collins
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
C Field Verification Form
Job Site 1 f� Z
D �
Company Name
Replacement of Sewer line
Replacement of Water line
Add
Materials used:
Replace gas line
Permit No. 6/ (1y,50-74
City of Ft Collins Lic# W/ 3
approx. ft. (100 ft. maximum)
approx. �G� ft. (100 ft. maximum)
approx. / , ftt. ( 50 ft. maximum) y
Tested at `Nor 20 minutes