HomeMy WebLinkAbout4403 MONACO PL - SPECIAL INSPECTIONS - 5/17/2017Fort Collins
PERMIT AND INSPECTION REQUEST FOR
,T
EXISTING NON-STRUCTURAL CONSTRUCTION
Please pnnt or type
Address
Date
I/WE
as owner(s) of
record of the above property, hereby request"ermit for and final inspection of the
installation or construction work described in the following budding 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
Work performed by
Name
Address
Date work performed '
(Signature) Date
(Signature) Date
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For office use only U e
7
Permit/Application Number
Date applied 5-1 L FT
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