HomeMy WebLinkAbout3612 Chipperfield Ct - Special Inspections/Combustion Safety - 05/02/2015Planning, Development & Transportation Services
Commuriltytievelopment & Neighborhood Services
Ry '261'001111 College Aventle
P. 0. 0 () x 500
Fort Collins, CO 80522,05D0
070.41 13,2740
070.224.6134- rox
f6gov, cone
Combuition SafcLy'rest Conipliance-T.Porni
Itcphceliathat.oF Natural Draft Applinnees in Existing Tlou•ses
Address:.
Approved Agency-
1. borchy attest llvit I have been troiticd as an Appr(WMI Agciic-y and have pe6bi-mcd Ilic following
Comb List ion sare(y,rcst in accard-mice wills Fort Colli.mr Comb6stiGil Safcty'rest Guide.
V t'SiF14ruary 201.2,
Technician Na
me (print):. L- V Company
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))"Orsf Case Conditions
0-IJ-13011 Monoxide (part"; per
Pas's llaj)' Date'rCsted:
Natural. CondJt.jp.j.xs
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Carbyjil%lounxi e(parisp -nim
cal"1•ec'661's 111161 festpyus under Natural Call difi. Ons.
Tedmi0at'l. S rccom,mun'dat"i0i1q; to correct tested U13plim6c faillim
F'nfled Worst Case ConditioRS:
I certify that 1. ihc above HsLcd Iii-OpertY and lickeby EjeJrjjojvjC(.jgO,.tjjjj[ Illy npillimcc
Under worst-c' : •I,'-'cIQ)MvIOdVc lhat I 111,vc received n
C01111;ustioll uppli'.Iticc sa 1.1cly hiRmwilion ShUL.
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