HomeMy WebLinkAbout814 Campfire Dr - Disclosures/Insulation - 06/03/201406/23/20.13 18:37 FAX
Z 0002/0002
L'Foft Callins Residential ffcmrgy do
liLLAT
Job address;
General contractor
Insulation contractor;
INSTRUCTIONS
This disdOsure fo,•m Is to to signed by the Insulaton contractor or representa4ive of the general contractor.
Please type or print, excopt for the signature. Complete the information i
N components vary, make MAPIe Ontt%6 to deactllao, them. n ntths appropriate spas provided.
One !ropy of this form must be provided to the Building ana Zoning Department prior to the G.O.
One copy of this forrn must be medo avmlablo to the Original home buyor.
the building & zoning dept. of
COm munity Planning and Environmental Services
281 N. Cokp Avo., P.O, llou SM, Fort Caf hwt CO 6=
VO!tA' AM "i 97sn CAW. nl, v. -.-.
Insulauort
I"' certify final the abovc.jlatpd Mugattion was inetaitad In the boldino a9 fire above loc<vtiana in co *nAunce with fine currmrt requirnrnerus of rim
' cx' Coro R=WantmlEF o"Y Cade, and that a wes h3tWled in
nrxadance ti+fill1 the "Insulation Guidatines' puhiisgeri by 4fi® City of Fort Comm
Person Ceedfying 466.-'. \,�-,,. r 1
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