HomeMy WebLinkAbout524 10th St - Disclosures/Insulation - 07/12/2001Jun-26, 2001 9:19AM R G INSULATION 303 289 2456 No,2672 P. I
FROM MICHE NU. ' 04 5UG Mey. 24 2002 01,33PM P2
Fort Collins koti;*�njlal Energy Cods the building zoning dept. of
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INSU Arilloge Ave., P.O. 111" SM, Furl rdM, C�O 110=1
,40N DISCLOSURE FORM Community Planning and Environmental services
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P11019111110111- Volm-0022187110 PAX M224si34
Job addre$g!
061104111 contractor.
Insulation owtractor.
This disclosure form Is to be si" by the imayievom conintotor or ritprotlontsIPA of th# forteral contractor.
Monte type or print except for th*si9ndtvft- Complete the Information in the opproprifflar spaces VMvIdN&
If components vary, make Wflolo entries to describe th§M.
One copy of this form must be provided to the Building and Zohlhg Department prior to the C,Q,
One copy of this forfn must be niaeo available to the original hams buyer.
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k*mws 111-value I Rd I
ts "At I wo -
Flat of voym 9411MIS
With ones Ali&*
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Ctifts with wholosed
rafter GavId"
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1615to — to exterior
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joint& — to stile, form"
Frame flow - Cantilever
Frame floor. over garsts of
enr*A opens
swo4n.or"o pin
crawl space WAS
1110"Ment wells
7 1 =7" �eyt Tjj�
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Ins
Pon COns RnWwdW IneW Code, and that It *%a InotaW In assontsw wAIN IM 9mauhoon Guldolimes" pub4had by Nee City of Fort Collina.
Person Cartifying Job;
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