HomeMy WebLinkAbout738 Campfire Dr - Disclosures/Insulation - 10/06/201406/23/2013 16:37 FAX
(A 0002/0002
Fort caillns Residential Energy Code
INSULATION DISCLOSURE FORM
Ln WCZ:,n _ 7noae
Job address: / 3 (J
General contractor-
Insutationr contractor;
the building & zoning dept. of
Community Plmuning and Envlror"ordal Serve
261 K C46" Avs., P.O. Box 500, Fat Co(IM CO EOW2
/�Vlb "0 221 9160 FAX: s71)24 26134
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INSTRUCTIONS
This disclosure form Gs to be signed by the insulation contractor or reWesentattve of the general contractor.
x to�Ponmlta vary, make mtype or print exceo uor ltiple uttlde tries m describe
the informatlon in the appropriate spaces provided.
One copy of this form must be �� thy'
One m Wovlded to the Building and Zoning Department prior to the C,O.
copy of this form must be made available to the original dome buyer.
Insulation
vvre gantry Chet the a0ove.✓t qV irrerpatron was nstabod In the Wilding at the above locations in Cordon ranee with the currrent requirements of the
Fort Ca9Yn Rqq �^n9Y Coda. and that k wasnimplied to sccartienar with the "Insulation Guidetincy' published by the City . of Fart C..O1f %t Person Certifying 46�, �� ,Mr. t fl _ . _.
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