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(COMPANY NAME)
building & zoning dept.
BOX 580' FORT COLLINS CO 8052Z-p58O. ��O10E: 970 22 1 6760
BUILDER AGREEMENT FOR 7 FAX_ 97p 2z4 6 134 cs of Fort Collis
� 5 PERMIT FEE REDUCTION
B0204004�alb,ME w
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builder/contractor of record of the home identified elow, hereb e ,as the
systems energy analysis Y a gr e to utlllze the following
program:
(check one) (7ENERGY SCORE;
-StarTM
to demonstrate compliance with the Fort Collins EnE;rgy Code as a condition building permit fee reduction of $75 upon issuance of the building e for receiving a
constructed at: 77ZZ , g permit for the home to be
I understand that all other applicable provisions of the Fort Collins Energy including following the Fort Collins Insulation Guidelines, submittingan insulation
Code,
form and HVAC certification form, and obtaining a completed "Insulationlation certification
performed by City staff will be required prior to issuance of a Certificate Inspection"
above home. of Occupancy for the
Further, I hereby acknowledge that a "preliminary rating" must be su Collins Building and Zoning Department in order to obtain an "Insulat' omitted to the Fort
failure to use either of the ever Ion Inspection", and that
energy rating programs named above and meet their respective
established minimum criteria for compliance will result in forfeiture of the $75 building permit
fee reduction provided hereunder and compliance with the Fort Collins
demonstrated before a Certificate of occupancy lms Energy Code must be
p y is authorized by the City.
(SIGNATURE) jJ
(DATE) Z