HomeMy WebLinkAbout500 Yuma Ct - Miscellaneous - 01/01/2000 (2)APR-20-99 01:54 PM DON GOODEN
970 568 7822
P.03
Job address 5W yOM r—,—�_
General contractor: 'may Tj�rmPd jn� . _
Mechanical contractor: ^ 4-4&Apw,
Space heating system
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Space cooling system
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Water heating system
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Certification
Me CC*) that the more tiste�- equ'pna^7 has ,ns!a:!e'. :n Ire `1 dd ry a' "re at^,e host'.: ^$ ConfofM&nCe w". •fie
ovnent rewuements of lh,e : rty of fort Co ^s ';elide -Ca -ne•,j -zode a^ ! Neeran cat cv.^r and that I was -�sta^ed fr
of ewdance wtr manutady e s mstrucu: ns 'Mie Certfr the! any duCti^--w has Dee- Walled)" contor^rarnce w1h
the Ct:rfert requdements of sty or -or Cotters Resde-.ta rnef9y ?de a'C Mec"a-,ca' ode
Certffted by: Done & 0deR
Business firm:'^`g-Ica.-_
Address. �iF40
instructions
Phone. 970-568-7822
Date. '�%99y
Signature: 8�r
TRw ftCtosure form 4% to De %'QQ Icy cy the rt.err �••, ja LC -ea: : r or rNDrts _`^tna.e of the pe^e•s' :,or!ra;:D•
Ptaase type tr print. exce; ! %,. -r-e $„^a! -e
Ifthe-e are mu"_;•yn S Sle' $ SerwpZ a^r • ,•• n gyaKe -�hprc C-:-ieS to (IesCnb
One COCy of 1his form 6ha'i be royideJ !o tt•e Eu. - ^ e :^CT.
D p any a, r� mac; artrr:c-; at t r.3: r5.�:5Vr
Ora copy Of tr„s form 6ha-� be Dro.�ded ;u [ire her eC.yrr
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