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HomeMy WebLinkAbout5324 FOSSIL CREEK DR - SPECIAL INSPECTIONS - 6/4/2021Otyof ~Colli~ Community Development & Neighborhood Services 281 N COiiege Ave; P.O. Box 580; Fort Collins, CO 80522-0580 Phone: 970 221 6760 FAX: 970 224 6134 Field Verification Form __ Replacement of Sewer line __ Replacement of Water line _j/_ Add __ Replace gas line . ,, PermitNo. 'Bcl[)Q01 --=---'--=-=------City of Ft Collins Lie# f ~ P-1;8 3 i ~F~ • fe approx. ___ ft. (100 ft. maximum) ~~ approx. ___ ft. (100 ft. maximum) 'i>I approx. 30 ft. ( 50 ft. maximum) ~ /"le_'-5-MaterialS used: __,::..a,_., __ '--'~·7~_,__ ________________________ _ Tested at __ l,_.,O....__ ___ Lbs. for Installer Name (prin_t) __ {'11,1/,· J P<.:;r J~t,V Installer Signature iJ.rv,,d f?..,vft1J~ ____ b __ C..___ minutes