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Home My WebLink About1012 FOX HILLS DR - SPECIAL INSPECTIONS - 3/24/2021fFortCoUans ~ 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 __ /0/ J k!,k /-lz}IS l>e:.. . Company Name ld::r:f/Jeco l!a!ocOclo Bl/112 D(O~ ;, .Llr~:/? / .....--Pennit No. _/3 ___ '2~10_1......_,_7_11?.___ City of Ft Collins Lie# f!JP:511._ Replacement of Sewer line L Replacement of Wate.(line approx. ___ ft. (100 ft. maximum} approx. ft. (100 ft. maximum) __ Add __ Replace gas line approx. -~--ft. ( 50 ft. maximum) Matenals used: C o~pc;;: ~ -tf ;-;-p'-~-Tested at 6 CJ-!{'u Lbs. , for ';;2.,~ minutes Installer Name (print) fe..i>b -Al< C)d C. L~ = 1 Installer s;gnatur./::1ft /J5l'A ... ==::::----.___ ____ _ ...