HomeMy WebLinkAbout633 Roma Valley Dr - Miscellaneous - 05/31/2001Job address:
General contractor.
Mechanical contractor:
Space cooitng system
4 er heatin s stem .;
tort Uollins residential energy code 7/96
Mechanical systems disclosure form
6 3 3 �o � V �., �r 1/� •
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Location
Fuel
T e
Manufacturer
Model #
Input capacity
kBtuh or kW
Energy
Factor
storage
volume
"tification ...
e certify that the above -listed equipment was installed in the hu7dng at the above locations In conformance with tlry
c, , ent requirements of the City of Fort Collins Residential Energy Code and Mechanical Code, and that it was instated in
:ordance with manufacturr..rs instruc6on5. VWe certify that any ductwork has been installed in conformance with
t current requirements of the Ctty of Fort Colrrns Residential Energy Code and Mechanical Code.
7 _
Certified by: t c�J �J Phone:
Business firm: pate:
Address: ipfS (avlk ,� _ o Signature:
r +
lnstructic'
his disdosi r 'c s be signed by the mechanical contractor or representative of the general coot a.
�leas�,ry; e prprirft apt (Or the signature.
-'le ,ace rihur4Ple systems serving any function• make multiple entries to describe them.
ne oy of this form shall be provided to the BuOdng and Zoning Department at final inspection
e .>y of this form shall be provided to tho homebuyer.
...INµ .!.II:Y 11 (lIa•)•.