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HomeMy WebLinkAbout430 DUNNE DR - SPECIAL INSPECTIONS - 5/6/2018Flirt Collins PERMIT AND INSPECTION REQUEST FOR EXISTING NON-STRUCTURAL CONSTRUCTION Please print or type Address: 4 ,3O )Jinn ve. -Dr. C D (U n 5 j CO 90,525 Date: 5 I/WE Kam"(FYI d -)Rshixa, t ouz1_ 17 , 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 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: / on -fqs" Cow Name Address OOY2S Date work performed: (Signature) (Signature) For office use only: Permit/Application Number Date applied: Date 5/6/1E Date %lo "11