HomeMy WebLinkAbout2900 ROSS DR - BLDG K - SPECIAL INSPECTIONS - 5/24/2021fort Collins ~. 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 Fneld Verification Form Job Site __ ,;lgpo 1fos2 ~ -u c -6/d?j &_ Permit No. .6 £). ID 3 -2_ C:,3 Company Name_________________ City of Ft Collins Uc# -0 P-"')7f _){__ Replacement of Sewer line approx. ___ ft. (100 ft. maximum) __ Replacement of Watei line approx. ___ ft. (100 ft maximum) __ Add ___ Replace gas line approx. _____ ft. ( 50 ft. maximum) Materials used: ~[ {I\ £:'/v ___ _ Tested at ______ Lbs. for ·----Installer Name (print)~!)._&~~\ 3/~~ lnslallecSignature ~ ~-----... '"-" minutes Date s/;,__q/# ' ( c;0;;er ) ~ii lcaJt/fl)e d.ach~~