HomeMy WebLinkAbout6127 WESTCHASE RD - DISCLOSURES - 8/13/2004 (2)" �t11i�IK�11�.;Q1�K
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INSTRUCTIONS
This disclosure form is to be signed by the insulation contractor or representative of the general contractor.
Please type or pry sccept for the signature. Complete the information in the appropriate spaces provided
If components vary, make multiple enbies to describe them.
One copy of this form must be provided to the Bung and Zoning Department prior to the C.O.
One copy of this form must be made avallable to the original home buyer.
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Cetion
Me ow* that the above-Gsled insuiation Ym installed in the builcling at the above locations in confomanc a with the current requirements of the
Fort Coifs Residential Energy Code, and that ft was irked in aocordance with the "insulation Guidelines" pied by the City of Fort Collins.
Person Certifying Job: � , n 04" �✓ 1 S V n — --
Business Firm: /ssrai 1 i oye s
Address: G • /1? a d �= •:� !
G%PP n ,,i, c 0 111 Phone: 76 d 0