HomeMy WebLinkAbout5314 CASTLE PINES CT - SPECIAL INSPECTIONS - 3/1/2021ff=ort CoUins ~ 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 Faeld Verification Form Job Site ~Jt:_ Q.51/c /Jot:3""..s (1 T ___ Permit No. _/j.f)/0 35ZJ Company Name &clh«YZ i?w«lt'.rlO Mlllf/h, 09 ? Ll~n City of Ft Collins Lie# JY)/)--5 7 r __ Replacement of Sewer line 2._ Replacement of Wate! line approx. ___ ft. (100 ft. maximum) approx. ___ ft. (100 ft. maximum) __ Add __ Replace gas jjne approx. ___ ft. ( 50 ft. maximum) Matenalsused:___zy..2( /C ___ ~---__ ----·-----Tested at l--o-JG Lbs. for c)JJ_/J..../!minutes lnstalier Name (printiR:vn _l~~Q¢v-lnstane, Signature./fiL U .,,/--~ ... ,, Date5lad4 to~er-) ~ Gvr.::,u