HomeMy WebLinkAbout105 Columbia Rd - Special Inspections/Field Verification - 01/12/1993City of Fort Collins
FIELD VERIFICATION FOR:
JOB ADDRESS
INSTALLER'S NAME
COMPANY NAME <
e NP
BUILDING PERMITS & INSPECTIONS
300 LAPORTE AVENUE
P.O. BOX 580
FORT COLLINS, CO 80522
0 GASPIPE
0 MECHANICAL REPLACEMENT
Il, DATE
LICENSE # 2 7 99 76
(A) I verify that I have installed c�'O (ft. approx.) of gas pipe, tested at !d pounds
for yS minutes, the results of which comply with 10 pounds for 15 minutes
minimum.
(A&B) I verify that I have installed mechanical equipment listed as
CpQ qt Ldgs in compliance with current city codes.
gd
A - Permits required
B - Permits and inspections required