HomeMy WebLinkAbout4702 DUSTY SAGE DR - DISCLOSURES - 3/10/2003 (11)IINSULATTON
the building & zamna dept_ cl"
DISCLOSURE FORM
C3mmunity Plannins and Envrranme:rtal seraicas
u�u r• w.-'rtclsa
?Bt 4. c--asga Ave., P.C. 3as a a, Fart Catllns. ate=
Vcics 3Ia Yl fii 6ai r=i.:: 570�4 BZ34
job .address: y 7 o Q- Y!Sang
Genera! cont,ac:ar- Ru* (7QnS4-('UCA
lnsuiation ccntrae:cr �� ed Tnso I4 0�
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i „is disc!osure rcrm is .c :e signed �y the insuiatton ccniraecr ar recresentadve of the genemi r_mcract--r.
Pease type or print, exc_cr far the signature. C-zmpiem t a infarmadcn in the accrccrfats szacrs prcviced.
if =mponents vary, make muitlple entries to describe therm.
Cna Cray of this form, must be provided to the Building and :cuing Qepartment prior to the C.C.
Cne cccy of this form must he made availaaie to the original home huye.;
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i cc-tfcrr ;1 Materiai(s)TtTickness
(Intl a=): Notes
iat crvauited callings { {
with attics.aaove.
Callings wi h '=c:.^.sac i
rartxr w:vitie : �
Flare wails and rirruband
Jois= - to exterior
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Frame walls and rirrubanc !)
jais= - to uric. ,arage
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Frnte `iaar-=ndiaver I
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France hoar - aver garaoe or
c:3wi
Slac-an-grade (C-1=7
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!lVve carry what the acavristed insUatten Ns.: irx.Aed in •"te T-Ecing at the soave iaeacns n ccnfcmm�ca whit 7'le C-rartt rn�.z '
art Ccilins iasicerttiaf =:_:,,y C_da, ar�sd%hat itvra inr..tled in s-rdznce with the 'Ih IIc s Guidaines' 3ucu shad 'ay 'tie C. of Fart C: z':n_
Fnrson Certifying .:cc: r ' a-w :S+CAzf-
sicnature:�� Z� pate: ;1/1-aIo3
3usiness Firm: Alf"ea Pa •1-oSy�V-'-
Address- S. CJueAandL
prran� 96 a- 90�1