HomeMy WebLinkAbout5121 Stillwater Creek Dr - Miscellaneous - 06/05/2001JUN-20-01 WED 10:32 AM WRITER NORTHERN FAX NO. 970 613 0043 P. 05
energy
.Job address:
General contractor:
Mechanical contractor:
Space heating' 4ysfem.:
ELI.
Space cooling system
water heating 'system
tnputewamy EM9y swrape
,gM of t1N Factor volume
Certification
VW4 md'ri"Ste above-ifsted equipment wee instated in the building at the above locations in conformance %orb the
currant regrAmments of the Cly of Fort Co&w ResidanU Energy Code and MedhwJwW Code, and that It wee hstaled in
accordance with manufaclureft kokuctons. VWO ow* that any duCtvvotk has been ineteled In conformance vAth
the Current rcgWremente of the Ck of Fort Colin Rer4denU EneW Code and Mechemcal Coda•
Certified by: Rhone: 4 ft Z -� 1__
Business firm'
+ Date:
Address: .p , Sign
tj
�OY� iipul n �
instructibn% ran
Thin dwbwft form is to be sigrhed by the mechanical contradtor or rep "entabw orthe genera) connector.
Phase type or ptin, wtcW for the eipmUne.
inhere are m** "awns s W trl9 any fundkn, make rrgrE* QFIVM to dew-Mm them.
Ono Copy of ft form shal be provided to the 801d ng and Zoning Department et tact hepeation.
One copy of ft form shut be provided to the hornsbuyer M6Usw3_ Gomm