HomeMy WebLinkAbout969 NIGHTINGALE DR - DISCLOSURES - 8/4/2004.Y ��•f.T {i .r4.y. .f:S: .. �.1i..•.YP•t : •ti�'.'�,T•�!Y'. ��Nyi i.S":• elif
Fort Coetins Residantlal Energy Code
INSULATION DISCLOSURE FORM
MOONS
Job address:
'''•- Genwal contractor:
Insulation contractor.
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his dise:osure form is to be sion4d by the insulation contractor ar repras=_n,ativs cf th;ec'W
e ^terat ccnt.u.
please type or print, .;treat far the signature. Complete the inkM,, atlen in the zrp'�prac_ spacrs provided.
If components vary, make rultiple entries to describe them,
One copy or this ,arm must be provided to the wilding anti Lortiq Jerarmant prior Z C. 0.
One copy of this torn must be r„ade :vallabie to Te original „erne buyer.
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- ' ' R:fed Loc:.tien'
Laeation MaterialfS} �'7iticicness j R-vaiux tnt J eztl Nt tea
Flat or Yauiter:i veilinga 70
with att;ca move U "
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G�ili tgc •.wit:; enc:osel
ratter cavities i ,
the building & zoning dept. of
Cornrrtvnity Planning and Environmental $ery
Zet N. Collet c Ave., P.O. Bar SEC, Fed .pill m, CZ} 8C971
Vaica: 97C -'• 87SO FAX; 870 Y24 61:14
Frame wslli and ritrdband
;outs — m extzrior
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Flare walls and tlrVt:and t
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joists �-.a attic, ysrage l �
Frame floor - canttiever---------------
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1
Frame (loaf - a•-fer garage of 4
crawispaoa
Vsh-cn-yrade (0-171
Crawt :pact walla
6aseraent walls � t q l i "IEW
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4Wa G wfy ;tat t;.e aba+ Ytts:s iraulaCcn `nas ins;.lied in L`te LtitCtng .t the : ays lccSYals i; t-t--anw y 3 ed by the Civ o
Fe, Coitus Resica'td:l ° ls.al Ceoe, snc Sst i[ vvaa ine"net: ir. acc:,rdance 'frill L`se 'in3ytaG �iceitnES" p
CAI
Person Cartifying
Signature:
Business Firm:
Address:
' ZO 39Vd
Date:
Phone.
WIN 11721LOL91170LIST LB:OI POOZ/00/80