HomeMy WebLinkAbout609 WHEDBEE ST - SPECIAL INSPECTIONS - 8/31/2018i,ianning, i)eveiopment S Transportation Services
City of Community Development & Neigbborbood Services
ff�P.O. Box 580
$ 281 Nonb College Avenue
F6r 6 Collins Fort Collins, CO 80522.0580
970.416 2740
970.224.6134- fax
fcgovxom
Asbestos Statement Disclosure
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Address 805a� Permit #
In accordance xlith the State of Colorado Serrate Bill 13-152, property owners, applying for a
remodel permit, shall indicate their awareness about their property having been inspected for
Asbestos Containing Materials (ACMs).
Property owner, please check the appropriate box below and sign:
❑ I do not know if an asbestos inspection has been conducted on this property.
IQ/An asbestos inspection has been conducted on this property on or about
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❑ An asbestos inspection has not been conducted on this property.
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Signature Date
Your remodel project rrray be subject to State and Federal Regulations requiring an inspection
for ACMs. Asbestos can be found In these and many other building materials: ceiling tiles and
textures, vinyl floor coverings and mastic, boiler and pipe insulation, heating and cooling duct
insulation, roofing products and clapboard shingles, etc.
For more information about Asbestos, please contact
Asbestos Compliance Assistance Group
Phone: (303) 692-3100
H7TP.Ilii,wiv. colorado. eov/cdphe/asbestos