HomeMy WebLinkAbout2110 Brookwood Dr - Special Inspections/Field Verification - 09/20/2000City of Fort Collins
BUILDING PERMITS & INSPECTIONS
281 N. College Avenue
P.O. Box 580
Fort Co ' O 80522 --4f $ Oa/S- 33
(970)221-6760
FIELD VERIFICATION FOR: GASPIPE
JOB ADDRESS 2I L
❑ MECHANICAL REPLACEMENT
Qit"
INSTALLER'S NAME N ya e E[ l e r-
COMPANY NAME F-, j p ha, e ,A e&4 ZC
DATE 6? `(S-aa
LICENSE # 13 R
(A) I verify that I have installed SS (ft. approx.) of gas pipe, tested at l
pounds for LS minutes, the results of which comply with 10
pounds for 15 minutes minimum.
(A & B) I veri ha ' talled mechanical equipment listed as
in compliance with current city codes.
A — Permk4srequired
B — Permits and inspections required