HomeMy WebLinkAbout4307 BLACK HAWK CIR - SPECIAL INSPECTIONS - 12/6/2000�s xo
City of Fort Collins
FIELD VERIFICATION FOR:
BUILDING PERMITS & INSPECTIONS
281 N. College Avenue
P.O. Box 580
Fort Collins, CO 80522
(970)221-6760
; '&SPIPE
❑ MECHANICAL REPLACEMENT
JOBADDRESS q3a7 3Ijc.K h4wK C4 DATE 12-6 -bO
INSTALLER'S NAME C \vd e. E I I e r
COMPANY NAME e.,P 1K1C�e w e s + LICENSE # I air I
(A) I verify that I have installed 30 (ft. approx.) of gas pipe, tested at 10
pounds for [ S minutes, the results of which comply with 10
pounds for 15 minutes minimum.
(A & B) I verify thal I have i stalled mechanical equipment listed as L o $ -{
Lr in compliance with current ci y codes.
A__ Permits-required-
B - Permits and inspections required