HomeMy WebLinkAboutNSFR2014-4825ENERGY CONSERVATION INSPECTION CERTIFICATION FORM
(SINGLE FAMILY RESIDENTIAL)
Project Name:
Address of Inspection: 1247 Carryon Lake
Name of Company Performing Inspection: FOX Energy Specialists
Name of Certified Inspector Performing Inspection: HUQQ E Vleyra
[CC Residential Energy Inspector Certification Number: 8168054
In accordance with State Law (Senate Bill 5 enacted by the 77th Legislature of the State
of Texas), I hereby certify that I have inspected the above referenced structure and that
it complies with the Energy Provisions of the Residential Code and any Amendments
adopted by the State of Texas and / or the City of Grapevine.
S natu of Inspec or
Development Services Department
The City of Grapevine * P.O. Box 95104 * Grapevine, Texas 76099 * (817) 410 -3165
Fax (817) 410 -3012 * www.grapevinetexas.gov
OAFORMSTS ENERGY CODE RELATED \EnergySFRCertForm- Mar07.doc
PROTECTION AGAINST TERMITES
PERMIT NO. ADDRESS: 11�J_ U`l o m m m ja i.P
BUILDER: Ll MA)(� Yl. CA r I�YY�
The above referenced address meets or exceeds the requirements for protection
against termites set forth in the 2006 International Residential Code and the treatment
was done in compliance with the Regulations of the Structural Pest Control Board of
Texas and the EPA Registered Manufacturer's Directions for the Use of Pesticides.
Name of Protection Provider ompany):
Address:
)- L W i 8 t/" I l P J %6d r'i '%
Phone No.: ��� �J�—b72(�P
State License No.: 1 %1702 2— Z
STATE OF TEXAS
COUNTY OF hel 017
I, riR' rzc! ::iLryih being duly swam both deposed and say that
the informatiorf contained in the above application is true and correct to the best of my
knowledge and belief.
Signa e II Date
Subscribed and sworn to before me this l_b day of Yl 20 ,
A.D.
�tNrv,W�
dro/ _
:BRCXMDA E KAY DDOSDN ary Public in and for t State of Texas omissmo Expires
f4"YS May 11, 2016
CAFORMSMS CONTRACTOR FORMSITERMITE PROTECTION.doc
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