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HomeMy WebLinkAbout2943 MERCY DR - SPECIAL INSPECTIONS - 3/24/2021Community 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 .!Jf~/3 iV}«t.!-¥ d)/2,jJtz Company Name --LZ-b,..ftio:12 &1t-x. ado ham /)/oc.; .. ,d/t:u.,,J ~ .. Permit No. ,6 .fhcc; 7:? ,h·< City of Ft Collins Lie# (l}P:5...·7:l_ ___ Replacement of Sewer line approx. ___ ft. (100 ft. maximum) _j(__ Replacement of Water line a;:iprox.. ft. ( 100 ft. maximum) __ Add Re~aca T. g line , ~pprox. _ ft. { 50 ft. maximum) Materials used: 3/i-J f[:: ({2-""--1'·0J-,..,_<.....:,_( _________________ _ Tested at _______ Lbs. for ____ minutes