HomeMy WebLinkAbout2206 CRESTSTONE CT - SPECIAL INSPECTIONS - 5/2/2021_IF~ri 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 Field Verification Form Job Site _ .i,#,Otc, &l:':::r!--oa6f t!,aue,7 Permit No. 13 c:2/00/5"~ Company Name AJ«l/z«rl 10/o/'(i@ /)/f,Mlbtl'2{/ ~ Ora.c.//City of Ft Collins Lie# !»F-519 __ Replacement of Sewer line approx. ____ ft. (100 ft. maximum) 2{_ Replacement of Water fine approx. ____ ft. (100 ft. maximum) __ Add ___ ft. ( 50 ft. maximum) r; Materials used: i/ Tested at -6:_} ~-Jo_ ~40s~for ;2V /IK?~inutes Installer Name (print) /le ::Jr:> ~ _ ,... ' ___ _;;;;----Installer Signatur:.,..,,.~""-f-,. ~% .... ~~:;,.,· --1------------Dare sk;b1 ' ' <17~/?£.e_ (Cch,r1n)