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HomeMy WebLinkAbout5151 BOARDWALK DR - A5 - SPECIAL INSPECTIONS - 8/21/2020/ ForfCollins ~ 281 N College Ave; P.O. Box 580; Fort Collins, co 80522-05 80 Phone: 970 221 6760 FAX : 970 224 6134 Field V erifi cation Fo rm JobSite ·~··· 5151 ~c VIZ. A 5 Permit No. 6210M0 Company Name 'fa/cl &!lu(LJ} ~~ M}/) /t:f ,£.. City of Ft Collins Uc# CJ ---- __ Replacement of Sewer line __ Replacement of Water line _){_Add __ Replace gas line , / ;l Materials used: / d CSS + approx. ___ ft . (100 ft. maximum) approx. ___ ft. (100ft. maximum) /5 ft. ( 50 ft. maximum) Tested at ;;26 Lbs. f:r --minutes /J1acJ 0/1 . {!Jtt ( /1'7 a p olk.'.:> (iJ-. lnstal~rName (prin~-- lnstaller Signature C Date e . .:JI -:;}<J;;?()