HomeMy WebLinkAbout2720 Council Tree Ave - Special Inspections/Field Verification - 07/10/2018Planning. Development & Tralisp ortntiOil Services
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(.Vnllllnnit% Development & Neighborhood Services
Fort Collins
P.O. LRns 5811
Port Collins. co 8O522.w5 o
970.416.2740
070, +2-1.6I 34- lily
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Asbestos Statement Disclosure
LIM Gs.,.ae111-7464-9 A.>C *lit B1805389
Address Permit #
hr accordance With the State of Colorado Senate Bill 13-152, properly owners, applying_fol• tr
remodel permit; shrill indicate their awareness about their properly having been inspected for
Asbestos Containing Materials (404s).
Property owner, please check the appropriate box below and sign:
do not know if an asbestos inspection has been conducted on this property.
❑ An asbestos inspection has been conducted on this property on or about
❑ An asbestos inspection has not been conducted on this property,
As Agent for RAMCO
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Your remodel project may be subject to State and Federal Regulations requiring an inspection
.for ACM.e. Asbestos can be found in these and many other building materials: ceiling tiles and
textures, vinyl floor coverings and mastic, boiler and pipe insulation, heating and cooling duct
insedcation, roofing products and clapboard shingles, etc.
For more infbrntation about Asbestos or fortes, please contact:
Asbestos Compliance Assistance Group
Toll Free: 1-800-886-7689
Phone: (303) 692-3100
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