HomeMy WebLinkAbout2232 BAR HARBOR DR - SPECIAL INSPECTIONS - 3/1/2021City of ·
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Community Development & Neighborhood ServJces .
281 N College Ave; P.O. Box 580; Fort Collins, CO 80522-0SS(i .
Phone: 970 221 6760 FAX: 970 224 6134
_.,,-Field Verification Form
Job Site J2'S2 Jl>a;~ #ffrbOr
Company Namei1te . ?/()011 J_ LL',
Permit No.
· City of Ft Collins Lie#
__ Replacement of Sewer lirie approx. ___ ft. (100 ft. maximum)
__ Replacement of Water line approx.~~~ ft. (100 ft. maximum)
_/LAdd Replace· gas line approx. 1,L/ ft. ( 50 ft. maximum)
Materials used: J-:;&(L /;,m ,JZf/lc '3/}'' I 1/z 1
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Tested at 2 cD L~ for " tJ minutes
Installer Name (print) le <f'e'1'CL