HomeMy WebLinkAbout444 PLOWMAN WAY - DISCLOSURES - 6/26/2002.APR-05-2002 FRI 02:04 PH FC BUILDING AND ZONING
FAX NO. T 9702246134 P., 03
Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
onsaig:_'306 — 7110M5
-job address: +++ plowman
the building & zoning dept. of
Community Planning and Environmental
Services
N. College Ave„ P.O. 52% 520, POrt Caflins, f-O 2C!Zl
vci==* 57En ;:_ Y- Z7n 7�2
General contra_ or: Kit 8
Insulation contractor. MICA
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h;s discicsure form ;s to be oy theinsuiatlon, c=nt,-a=o,- -mcasanm#
five of the pneral
Please type or print, exc=_;-113r tne sicnature. Comoie:s in, the 2ppropriste spacas provice:�.
If com ponents vary, m-ake rnultinis entries to desz-ibe thern.
2 Cop of this 1::,-m must b e p �:vibed *,.- the 5 uii din a an.- -_zonin 3,-= an: ::,-io,- "o I e 0.
On.e sp y a f this font „Its: z e made ay.aiiaole to the original nomme m-_,ve'r.
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w;'h a',lian above
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';i rn - . e wallz an: "irruzand
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j=;s': - In exterior
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zq:t�y tnat 'he znov�--h=ac •insu!=n was inEtalla., i.,, t,19 mu,'. . :":1 1 .... ......................... .......... . ............. : ... . ...
z, a==V2 1c=nZns in =r..f=rrn2nn&e "Vft,� .1ne =urren' requirernen c, tne
Collins ReSiZW'Id2i E risr_=y Cone, and thm, it wms ing311ed in a==or:zn=c tie %,jSL,!2!ion Guid2!ines, pt.,bi*. ed Y the C of 0;
ity F:
Person Certifying ic
Signature : L-igL Date:
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Business Firm: he J_ Sor-�V%
Address: 'S -C
Phone: