HomeMy WebLinkAbout4906 WILMINGTON DR - SPECIAL INSPECTIONS - 2/1/2018i
j Fort Cottins
PERMIT AND INSPECTION
EXISTING NON-STRUCTURAL
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Address: 14cl b t I r�
Date: �I- l 11$
I/WE "1 v w---
record of the above property, hereby request a permit for an
installation or construction work described in the following buil
application, which work was completed or covered without o
without required inspections during construction. I/we underst
the City of Fort Collins Building & Zoning Department will perfoi
assess compliance of such work, some or all of which may be
permanent construction and finish materials, based on obsen
nondestructive methods: and, that it may not be practical or
Fort Collins to verify full compliance with City building codes
permanent construction and finish materials. I/we further uni
violations of City Codes related to health and safety associa
or installation may require correction.
.
Work performed by:
Date work
Nome_
(Signature)
For office use only:
permit/Application Number
Date applied:
Address
FOR
I
_, as owner(s) of
final inspection of the
ling permit
)toining a permit and
nd and agree that
a final inspection to
oncealed by
ble conditions and
ossible for the City of
v hout removal of such
that any
with the above work
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Date
Date
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