HomeMy WebLinkAbout2500 E HARMONY RD - 173 - SPECIAL INSPECTIONS - 8/27/2021 City of Community Development & Neighborhood Services
Fort 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 # 173 Permit No. B2102154
Company Name Best Plumbing of Denver City of Ft Collins Lic# MP-866
Replacement of Sewer line approx. ft. (100 ft. maximum)
Replacement,of Water line approx. ft. (100 ft. maximum)
Add Replace gas line approx. 15 ft ft. ( 50 ft. maximum)
Materials used: 2, anoidless risers, 3/4 poly, tracer wire, ball valve, flex line( outdoor rated)
Tested at 20 Lbs. for 60 minutes
Installer Name (print) Mike mckee
Installer Signature " Date 8/27/21