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HomeMy WebLinkAbout849 MARBLE DR - SPECIAL INSPECTIONS - 11/12/2020Community Development & NelghborhQod Services 281 N College Ave; P.O. Box S80; Fort Collins, CO 80522-0580 Phone: 970 221 6760 FAX: 970 224 6134 Job Site Field Verification Form 't4f Ll1ar..61e .Do·ut[ Company Name M>rif}a(tl &01~ Pl ll mh.i..lX:j.__0/a.i-n Permit No. City of ft Collins Lie# /Yl P ·.;f '7 'l __ Replacemsnt of Sewer line _x_ Replacement of Water line approx. ___ ft. (100 ft maximum) approx. 1...,::,5 ft (100 ft. maximum) _______ Add ______ Replace gas line approx. . -·--· ____ ft ( 50 ft. maximum) Matenals used: ----2.ti·'' \:=-'.--.-ui;vft:v ____________ --·--··--·----•-·------_______ _ ' o-t_s ::-x_ : ½c; . '° Tested at hf-~11 i<;_\1\~~---:llf for 2 'T 7~iR;~.=' Installer Name {print) fLo~-LA,~£.LlG .. ~~--installer S1gnatwe ___ .w -----;?-7~-___ Date 1:_/J. /2o 21 -~--~-