HomeMy WebLinkAbout2718 GARRETT DR - SPECIAL INSPECTIONS - 3/30/2021City of ~ Community Development & Neighborhood Services 281 N College Ave; P.O. Box 580; Fort Colllns, CO 80522-0580 Phone: 970 221 6760 FAX: 970 224 6134 Field Verification Form Job Site __)7/f &;~f} {)r: Company Name P/, /((),5 &~r, ~v'l,/J c'-6 Permit No /j_-=-:;6__,;--1=·/JIJ_"'-•'--'--/ __ r-__ City of Ft Collins Uc# ,tdl{) )1/) () /7 ~ ~· _ R~lacement of Sewer line approx. ___ ft. (100 ft. maximum) __ .---Replacement of Water line approx. tfO ft. (100 ft. maximum) __ Add __ Replace gas line approx. ___ ft. ( 50 ft. maximum) Materials used: ---1-~.....:.c..=X.._._ .... P_,+(>y_'...;c_. ______________________ _ ~ ' Tested at ___ _;/.t>:<.....>,.0£-_ Lbs. for ~--minutes Installer Name (print) __ /Yl~~L{L ~u}_ Installer Signature ~ ~-=--~-Date