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HomeMy WebLinkAbout2007 SHEFFIELD CT - SPECIAL INSPECTIONS - 7/26/2021City of ~tCoUi~ 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 JobSite 2/J07 5tfeEf!€LD Gr Permit No. r:>2/6 3/70 City of Ft Collins Lie# Af(?... l-/ Company Name A {_,t,6-,v f.;f/ilvl c£ Jt.._ Replacement of Sewer line approx. __ Replacement of Water line approx. --Add __ Replace gas line approx. Materials used: 4" fill-l/" Wll..6 f/V to. f\A-us ft. (100 ft. maximum) ft. (100 ft. maximum) ft. ( 50 ft. maximum) P~fc l,~ Tested at Lbs. for ___ minutes Installer Name (print) _4-Jt(i.::.µ'f.'-"k£"""-~&/-<-V<..,_/"-"'M~c::.-==---- lnstaller Signature._""'~__,""""'""~""-"=-"""~"-"-""'""""'="'---- • ~/ Date---'7_,_/2'--"'t,-'-/2_ZCJ_z_,_( __ f1-A/~