HomeMy WebLinkAbout5403 Roma Valley Ct - Special Inspections/Field Verification - 12/14/2005FROM
FAX NO. :9702299983 Jan. 13 2006 08:43AM P1
city of t�o��ins
BUILDING PERMITS & INSPECTIONS
281 N. College Avenue..
po. Box 580 0
rorj Covi ns, Co 80522 f
(970) 221-6760
F(EI..D VERII'IC.ATION FOR:
VICA.SPIPE
MECHANICAL REPLACEMENT
�,16 )OB A.D1�RE5S
5 O3 60kr , DATE
INSTALLER'S NAME LICENSE #
COMPANY NAME
(A) T verify thA T have 1lstallt'd 5� _ (ft. approx.) cif g as pipe, tested. ai
,oiands for �,I� ._ _ minutes, the results of wl�icl� comply with �lq
l .
pounds for 15 minutes mini"n"In. � ✓ `��_ ►J
apical a Lyi . relent )iste-d as _
A & Ti 1 vcrif (fiat T have ii Akled mech q {�
( ) y � in compliance wit., current city c'c�d.c�s.
A - porrnits recluired
FI - f crinils and in, required
A�� (�
11 LpPe