HomeMy WebLinkAbout6603 Antigua Dr - Disclosures - 07/02/2000 (8)us/Ui-UU 13:57 FAJ 970 464 4448 AlI.EN PLUbEBEJiG
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energy code
Job address: lent vq Dr, (:W-
General contractor: jaeAcs (aN f rvct o h Co .
Mechanical contractor: R Ire h pluvw b; Kq g fte i Na
Space heating system
Location Fuel T e Mantatoctttnx Modet Input capaelty AFUE or
kBtuh or kw MSPF
Space. coaling system
Location Fuel T e Maeruf ter pacity
Modei S 1 k8tu or Kw
SEER
rater heating system
Location
Fuel
7
Manufacturer cturer
Model *
Input capacity
MilDh of kw I
Energy
Factor
Storage
volume
Certification '
VW e certify that the above -listed equipment was installed in the budding at the above locations in conformance with the
current requirement9 of the Clly of Fort Collins Residential Energy Code and Mechanical Code, and that it was installed in
accordance with manufacturer's instructons_ VW* certify that any ductwork has been Installed in conformance with
Me current requirements of the City of Fort CoWns Residential Energy Code and Mechanical Code.
Certified by; _ � 2,� '� o cr�t
Business firm-
Address•
Phone:
Date: "`—
Signature:
instructions
This disclosure form Is to be signed by the mechanical contractor or representative of the general contractor
Please type or print, except for the signature,
if there are multiple systems serving any function, make mulpple entries to describe them.
One copy of this form shall be provided to the Huiiding and Zoning Department atonal inspection.
^ne copy of this form shall be provided to the homebuyer_
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