HomeMy WebLinkAbout4702 DUSTY SAGE DR - DISCLOSURES - 3/10/2003 (2)tote building & zaring dept_ a
INSULATION CISCLOSURE FORM Comrsunity Planning and Env(r=nmental Services
_81 N- College Ave, P.C. 3az `-si' a. Fort Cadfns, CC ar=
�,. •.�• _:rtcan
^� QV«c= 97t1 =,2 64-M Fi.:': 97a ZZ4 81C
Jcc .address:
General cant,, oar_
Insufzdcri r_ntrc:cr_
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i his disdcssre crm Is .e 'e signed �y the insuiatlon ccnaacter ar ; ecresentaave of :he generaf =ntract=n
r!easa type or ;sins, ;1.c_ct for the signature. Camcfete the ;nformadan in the accrccriata spac_s crcviced.
If =mconents varl, make muitlpie entries to describe therm.
One ccgv of his fgrrrr must t o provided to the ?uiiding and =cninc Cecamrtent prior tc the C.C_
Cne Cagy of this farm must de made availacie to the arigirrai home duyef
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_.._ __....__..._.._ .:::.::�.:::........__...... _.ate L.acztcn
I
ccatferr Mate -tells) Ttriccness Fc-veto,= (Intl es:T Natez
=;at arvauitea cailings I
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with attics.ai:ave.
Ca fings with
raitar cavities:
Frame wails and 'Maband
I
j
;cis:_ - to ax:erier
Frame walls and -fnv-bars
I j
jciss - to attic. satage
r "e 'lacy - caniflever
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I I
Fear a floor - aver, g3ra9a or
C:Zwi a: oC3 j
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alai:-on-qrde (a-t_'�
I I I 1
Crawl :gape wall: -
I
3asement wails
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!1we car ry hat :`•a acavr,.sted insulaticn wrss ct5s'..IIed in ho cCuicing at he acove lcc3cnz :rl cniamrsncs with i to c rerti re cett� -r s
Fact Cailinz R-asidentiai a ay Coda, and that itvr_s ins=^. -filed in srr.!Znce with the'Irrs:icde^ Guideines, puh ailed ':y'-In C I ei rest. C-�i n=-
Persen Certifying Ice:
tald3
Signature:
Susfiness Firm Al��2t �r►5�! �to�
Addr"z a9 5 C lei)
ahenc 9 � 27 F 11