HomeMy WebLinkAbout2018 Constitution Ave - Special Inspections/Field Verification - 08/01/1990City of Fort Collins
FIELD VERIFICATION FOR:
BUILDING PERMITS & INSPECTIONS
300 LAPORTE AVENUE
P.O. BOX 580
FORT COLLINS, CO 80522
0 GASPIPE
0 MECHANICAL REPLACEMENT
JOB ADDRESS *,;,? p ( W , 4-1 + _} ; 0 L,, DATE
INSTALLER'S NAME ��,A
COMPANY NAME _ �� p4- k!c LICENSE # /9 23S Z
(A) I verify that I have installed -& (ft. approx.) of gas pipe, tested at pounds
for i y"_,, L�minutes, the results of which comply with 10 pounds for 15 minutes
minimum.
(A&B) I verify that I
A - Permits required
B - Permits and inspections required
have installed mechanical equipment listed as
in compliance with current city codes.