HomeMy WebLinkAbout6315 CLYMER CIR - DISCLOSURES - 1/27/2005Jan 27 2005 5:25PM HP LRSERJET 3200
Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
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Job address:
General contractor:
Insulation contractor:
P.1
the building & Zoning dept. of
Community Planning and Environmental Services
281 N. Coliepe Ave., P.O. ft goy Fait C4ft. Co IM22
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Voi-0: ��/" I s7�p FAX; 070 224 61344
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This disdoaure form K to b e signed by the incutation contract ........... ........ .
Pies e• type or print, es to or or roPfusntattve of the general contractor...
Pr r except for the sigltatdre. Oompletethe.infornlatlon In the appropriate specss provided.
If components wry. make muMple entries to describe them.
One copy of This form must be provided to the Building and Zoning Department prior to the C.O.
One copy of this form must be made available to the original home buyer.
..-„w•�rxs YNaI MO'U1Ktlation Geldellnss" published by tl�s . -••~ yr r...
Person Certifying Job: ,,, A ie ., City of Fort Collins.
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