HomeMy WebLinkAbout3361 GUNNISON DR - SPECIAL INSPECTIONS - 9/14/2021City of
k t Colli!!:
Co mmunity Dev e lopme nt & N e ig hbor hoo d Ser vices
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 3)&! ~,1,,.,,)..,1,..,. /);L
Company Name -r~1 f'-, /I I/ I ')-/ /--/
Permit No . ,B <lo I < ~ 3/
City of Ft Collins Lie# ,,v1 p y~ c..:2__
__ Replacement of Sewer line
__ Replacement of Water line
X Add __ Replace gas line
Materials used: -:v C > > I -~4 , 1 -
approx. ___ ft. (100 ft. maximum)
a pprox. ___ ft. (100 ft. maximum)
approx. / ;-ft. ( 50 ft . maximum)
.--
Tested at ,1-ef' /o Lbs. for --"'/---'...:;,=---minutes
Installer Name (print) 3,.,,, f·i &. r /1-',,.,..
Date 7-/ i --2 I