HomeMy WebLinkAbout3903 Glacier Ct - Disclosures/Mechanical - 04/04/2000Fort Collins ResidentlalEnergy Code
MECHANICAL DISCLOSURE FORM
mchdisc2.xls—7110fa6
Job Address:
the buildinc & zoning dept. of
community Plan Ling and Environmental Services
281 N. College Ave. P.O, l3ox 580, Fort Collins, CO 80522
Volce: 470-22A-675-1 FAX: 870 224 6134
General contractor: '� -
%L
Marhanicxl contractor:. �•ti, t T� /'Y Ilk",
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A Spa>ye Mt1r!.g sysl~elr►
Location
Fuel
TvDe
M ufactu er
L�odel #
Input capacity
tBtu 1 or kW
AFUE cr
S F
C,
at -
/1
i
)
B. Sp2ice cooling:system
Input capacity
Location
Fuel
TvDo
ManufactuMr
hbdel #
kBtuh or kW
SEEM
C Water heatirt
f
Location
Fuel
TvDe
Manufacturer
P "ode[ #
Input capacity
I tuh or k
I Energy
Factor
Storage
ue
vom
Certifica�o.n F
i/We certify that the above-11sted equipment (including ducts and piping) ww installed in the building at the above locations
in conformance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that
such equipment was installed In accordance with manufacturers' lnstructior:
Date: �� 4- e'j
Phone: &-,2- �iK** 9