HomeMy WebLinkAbout624 YARROW CIR - INSPECTION RESULTS - 10/16/2003r l T j ', t r1 3 0 6 8 0"clLsON coNsTRuc PAGE 0-1
Fort Collins Carmmunit j Plennin and Er:vir0r.m@
i rD ntr31 Services
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PERMTTAND INSPECT 0ty Rr=QL:Eyr
FOR
EXISTING N0N5T7ZUCTURAL CONSTRUCTION
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,naza:rznan aY =50--.ct - work desc; ibed in tie abave bulldin4 permit gppJ;Cat0,r,. W,�1?ch work
was rr -mr)&ed or covered wMour ob�it�:ny a pe:Tr it ar=d wrhoct .rexulred lnspe+ 4a�_% d Sri
cDJiAUCft- Tjwe undersi'and and agree Mat ire Cftr of Fo:t .Co'i1r's $Ijslclrg Zorn
ertmentwil l+erfotrr, a �nai irnspecbon to a.;e s :orttplanre of Eu& world, -some Or ar of which
may be aorraaled by permanent ca Encti3rr and finish. mate&,zis, based on oboe "ble cofxiltlor�
13n0 norideszrjtt�re m trs,.-a►'d, t~ar it may not be PrWbc+a: or poW.ble for the City of -Fort
I of such, pe:171ai1�t
CQn U�k':ri andtLhiS ials.. _--]we filttile" un�nd.Ihat any Aolafom of CZty 't.0ce
rela& m heap and safety sated vtifth the ebMe wcrk or lr lial;on r;ey-require co-Tecti:�r;.
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4OTARY'PVBL•1C-.
STATE OF ARIZONA
County of Pima
GEORGE J. MINE
. 4,
10/16/2003 THU 08:49 [TX/RX NO 58403 a003
- the_b_u.i_I_d.i.ng-&_zon.i_ng_dept.
Fort Collins Community Planning and Environmental Services
N. Colle 80• Fort Collins CO 805 -0580• Voi 970 221 6760 FAX: 970 224 6134
Ciqi Of l"Wrf "I fins
PERMIT AND INSPECTION REQUEST
•_l
EXISTING NONSTRUCTURAL CONSTRUCTION
PLEASE PRINT OR TYPE R03068og
Address
Permit App. No.
I/We,
c
Date
owner(s) of record of the above property, hereby request a permit for and final inspection of the
installation or construction work described in the above building permit application, which work
was completed or covered without obtaining a permit and without required inspections during
construction. I/we understand and agree that the City of Fort Collins Building & Zoning
Department will perform a final inspection to assess compliance of such work, some or all of which
may be concealed by permanent construction and finish materials, based on observable conditions
and nondestructive methods; -and, that it may not be practical or possible for the City of Fort
Collins to verify full compliance with City building codes without removal of such permanent
construction and finish materials. I/we further understand that any violations of City Codes
related to health and safety associated with the above work or installation may require correction.
(Sib ature) 44' 01(Date) D O
(Signature) (Date)