HomeMy WebLinkAbout2549 ROMELDALE LN - SPECIAL INSPECTIONS - 2/1/2021-. ,.City;of
ktColli~ 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
Job Site ~5' -¥9 l<t>/YJE'.).. J!)fJ-L I= LJ+t,J~ Permit No. /3).. I OD 1 g '1
Company Name /-<ih.ar P/.an1hh1J i lle1ul[if, /Al!,,, City of Ft Collins Lie# /f/P-9'"fl
__ Replacement of Sewer line approx. ___ ft. (100 ft. maximum)
__ Replacement of Water line approx. ___ ft. (100 ft. maximum)
...t'.-Add __ Replace gas line approx. -;z.; ft. ( 50 ft. maximum)
Materials used: / " f?LIJ:CK PJ-P £:
~ .
Tested at ___ ___,l'-0=-----Lbs. for ZO minutes
Date 2-Dl '.,).O~i