HomeMy WebLinkAbout4120 Rolling Gate Rd - Miscellaneous - 05/30/200105/30/2001 07:21 9702238164 MARK TWAIN HOMES INC PAGE 03
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rt Collins
Job address:
General contractor:
Mechanical contractor.
Spacwheating system
ential energy
re
Location
BASEMW
vel
GAS
e
F
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSp
Space.coofing system
F
T e
Manufacturer
el #
Input capacity
h or kW
SEE
GAS
F/A
Water..... g;system:
Input capacity Energy Storage
Fuel a Manufacturer Model # tuh or Factor volume
Cattifii:ation
I/We certify that the abovedlsted equipmentwas Installed In the building at the above locations in conformance with the
current requirements of the City of Fort Colons Residential Energy Code and Mechanical Code, and that it was installed In
accordance with manufacturer's instructions. V We certify that any ductwork has been insisted in conformance with
the current requirements of the City of Fort Colons Residential Energy Code and Mechanical Code.
Cartif eld-by; 1CPER'r R- - TAR Phone: :370)-223-8873
Business firm'2 COIARADO AIR, INC.Date:
Address:1823 E HARbDNY RD Signature:
nstructions.: ;
This disclosure
ore form is to be signed except for the signature.
Ifmechanical contractor or representative of the ge
Please neral contractor.
If there are multiple systems serving any function, make multiple entries to describe them.
One copy of this form shell be provided to the Building and Zoning Department at final Inspection.
One copy of this form shall be provided to the homsbuyer.
TOgIK.M41MD - VSUW