HomeMy WebLinkAbout2500 E HARMONY RD - 05 - SPECIAL INSPECTIONS - 8/31/2021 City of Community Development & Neighborhood Services
Flirt Collins 281 N College Ave; P.O. Box 580; Fort Collins, CO 80522-0580
Phone: 970 221 6760 FAX: 970 224 6134
Field Verification Form
.lob Site 2500 a Harmony rd # # 5 Permit No. B2106845
Company Name Best Plumbing of Denver City of Ft Collins Lic# mp-886
Replacement of Sewer line approx. ft. (100 ft. maximum)
Replacement of Water line approx. ft. (100 ft. maximum)
Add Replace gas line approx. A ft ft. ( 50 ft. maximum)
Materials used: 2 anoidless risers, 3/4 poly, tracer wire, gas valve flex line to home
Tested at 20 Lbs. for 60 minutes
Installer Name (print) mike mckee
Installer Signature a Date 8/31/21