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HomeMy WebLinkAbout2706 RED CLOUD CT - SPECIAL INSPECTIONS - 6/11/2021J:;Cityof ~tCollins ~ Community Develop1nent & Neighborhood Services 281 N College Ave; P.O. Box 580; Fort Collins, CO 80522-0580 Phone: 970 221 6760 FAX: 970 224 6134 ~ 7 60 R€:[) Field Verification Form ~OU[) LT Job Site '---,,L,~f"Y"\-z--z:r,,--;;:::r---.,...,. ~-13 -;)..Jo c/OC)(o Permit No. Company Name {_µ ,e-sf...Prn C 1r-ep[c.c_5;: >v~y City of Ft Collins Lie# _____ _ ., __ Replacement of Sewer line approx. ___ ft. (100 ft. maximum) __ Replacement of Water line ·)(__ Add __ Replace gas line approx. ___ ft. (100 ft. maximum) approx. 3 ft. ( 50 ft. maximum) Materials used: Y 2-1' f3 f Q c.k. ; ,ru:;;, ""-Tested at / 0 Lbs. for / O minutes .,:-) Installer Name (print)~ ...; L /2-o /5,,; r0 Sc,,:.._J Installer Signature r7 <......_...,f2. ~ Date 0/; I /2_ ) t ' (!frf l/v;f A_ P<r~1+