HomeMy WebLinkAbout1537 Independence Ct - Special Inspections/Field Verification - 09/13/2010BUILDING PERMITS & INSPECTIONS
281 N . COLLEGE AVE.
J!!k P.O. BOX 580 ! � L115q
City of rx)rt Collins FORT COLLINS, CO 80522
221-6760
FIELD VERIFICATION I -Olt: PC GASPIPE
Cl MECHANICAL REPLACEMENT
JOB ADDRESS DATE (I,
INSTALLER'S NAMES g NA" t
COMPANY NAME F-,V uk,.s we-A� AA L- LICENSE
(A) I verify that I have installed 15 _(ft. approx.) of gas pipe, tested at 4' pounds
for minutes, the results Of which CO wi 110 pounds for '15 minutes
( I verify that I have installed mechanical equipment listed as
m compliance with current city codes.
A - Permits required
B - Permits and inspections required