HomeMy WebLinkAbout3557 SUNFLOWER WAY - SPECIAL INSPECTIONS - 10/30/2019F`irt Collins
PERMIT AND INSPECTION REQUEST FOR
EXISTING NOW TRUCTURAL CONSTRUCTION
Please pdnt or type
Address: ✓ SS
Date: %0/3o A2 o i 9
I/WE Gra orQ �- -5iy; A as 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 following 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 j
I
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: CPy ktown
Name Address
Date work performed: u nk n jwn
(Signature)_�r�%'� Date /0/30
(Signature) Date
For office use only:
Permit/Application Number
Date applied: