HomeMy WebLinkAbout3436 OREGON TRL - SPECIAL INSPECTIONS - 6/4/2021F;Cltyof ~tCollins ""=!. -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 . /J. JD\ 515 9 Permit No. V -Job Site J4 3lo 1)y-e_o6\SV'\\ \r~\._\ _ Company Name ,~\.:uLQc\ 0QY \J \ Q.__Q_ \ L(' ~ City of Ft Collins Lie# ffiP----=\· 9 ~ __ Replacement of Sewer line V Replacement of Water line approx. ___ ft. (100 ft. maximum) approx. -3,CJ ft. (100 ft. maximum) __ Add __ Replace gas line approx. ___ ft. ( 50 ft. maximum) Materials used: \ \ \ L\ ?d½ SW \iC ~ 3\A '1 &DC,\-c)~ µ--(____, Tested at (Cb Lbs. for fL minutes Installer Name (pr'lnt~ \t)(I ~ Q\.s:::, Installer Signa1llte5£, Date~