HomeMy WebLinkAbout4132 WESTBROOKE DR - DISCLOSURES - 4/22/2005Fort Coilfna Residential Energy Cods
INSULATION DISCLOSURE FORM
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Job address; ,Z UE.ST
General contractor: sitoa+5 t.4-r-
insulation contracwr: 11,%'S
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the building a zoning dept. of
Communigr PtamMng and Environmental services
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This disclosure form Is to be signed by the Inautallon :: vkKi?f:R•}}:....r.t}.x:: w:',vi: :•
Please contractor or representative of the ntreaii.
type or print, axttept far the elpnatura. Gomplate the informstion in the a efletil
If componants vary, make muRIPle entries io describe them. PProprlate spaces provided.
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 trip ild home buyer.
J*tat or vaulted celflnos
joists — to attic, garage
Frame floor - cantiimr
Frame floor -aver garage or
Me earthy lha{'jh�•abow•Qep
Fort Collins Raslden iai Energy
Person Certifying Joj3p
Phone: 0 - 46f, ea LI I
t.d ODEC 13Ca3SUI dH WuLatZ 2002 as jdd