HomeMy WebLinkAbout6306 FALCON RIDGE CT - SPECIAL INSPECTIONS - 9/25/2004Ccjia-Lm nits? 1"lari.nlrip :i1Ld i 1'tviI`011ITLeT1tEJ (21 l .i
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PERIAIT AND INSPECTION REQUEST FOR
EXISTING NON-STRUCTURAL CONSTRUCTION
Please prini or lyre
,O,r�
I/WE I ( Ak /�U A�S`''� , as owner(s) of
record of the above properly, hereby recluest a pern-J-1 for and final inspection of -the
irIsiallation or construction worl: described in the following building permit
application, which wort: was completed or covered-wiihoui obtaining a permit and
without required inspections during construction. I/vve understand and agree That
the City of Fort Collins Building & Zoning Department will luerforn-i 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
Foil 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.
Work performed by: pry✓a,S aptjW—'
Name i Address
Date work Qerfgmr ed:
(Signature)
(Signature)
For office use only:
Pemit/Application Number
Date applied:
Date
Date
80406-043
.11
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