HomeMy WebLinkAbout2205 W Olive Ct - Special Inspections/Field Verification - 08/08/2011City of Fort Collins
Community Planning and Environmental Services
Building and Zoning Department
FIELD VERIFICATION FORM
JOB SITE Z .� 62 5 a &21,' [J - C- -'
PRINT INSTALLERS NAME , p �� /J e
PERMIT NO. -0 �/0/9 4-3
COMPANY NAME zrs'h i c y Ply Ilo
INSTALLER'S SIGNATURE r �h CONTRACTOR'S LICENSE NO. A)"
1. I verify that I have installed 10 (feet approximately) of fps pip e, tested at W J? � e/" 7 4W pounds for
minutes. f
2. 1 verify that I have installed LAI q S � G crv, d jle-A 'f
which complies with manufacturers installation instructions and all applicable codes.