HomeMy WebLinkAbout3636 Muley St - CO/LOC - 11/10/1992City of Fort Collins
FIELD VERIFICATION FOR:
BUILDING PERMITS & INSPECTIONS
300 LAPORTE AVENUE
P.O. BOX 580
FORT COLLINS, CO 80522
GASPIPE
MECHANICAL REPLACEMENT
JOB ADDRESS ��(� 7fU`�� �(�l VLC -�'i DATE IL Q-7 -
INSTALLER'S NAME ���it'�v 1pal'
COMPANY NAME ( _JAL V GL( Cjl !l: C� LICENSE #,
(A) I verify that I have installed 3. (ft. approx.) of gas pipe, tested at pounds
for minutes, the results of which comply with 10 pounds for 15 minutes
minimum.
I verify that I have installed mechanical equipment listed as
in compliance with current city codes.
A - Permits required
B - Permits and inspections required