HomeMy WebLinkAbout6603 Antigua Dr - Disclosures - 07/02/2000UJ,U7, UU 1J:57 tA1 97U 48-1 1418 ALL�N. PLUMBIDI6��� Z002 =. v-ccy-7�av P.02
energy code
Job address: _4
General contractor: Tame
Mechanical contractor: A lie ti
Space heating system
[o.
Location Fuel T e Input capacity AFUE or
Manufachtrer Model kBtuh or kW HSPF
Space cooling system .
Location Fuel T eea� Inputcapacity
M=g W Modei S kBtuh or kW SEER
"rater heating system
Location
Fuel
'�'
T
M nu cturer
fat
Modal it
PRIo-+�o-lJ�
Input capacity
k8t h or kW
D cco
Energy
Factor
storage
volume
40 �a
Certification
IIVVe certify that the above.fisted equipment was installed in the building at The above locations in conformance with the
current requirements of the t:fty of Fort Collins Residential Energy Code and Mechanical Code, and that it was Installed in
accordance with manufacturers instructions. VWe certify that any ductwork has been instated in conformance with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by: _-Ise Phone: 4i3,4 - y $K 1
Business firm: .�in.r �� Syr Date:
Address: Signature:
Instructions
This disclosure form is to be signed try the machanleal contractor or representative of the general contractor.Please type or print, except for the algnatUTe.
if there are muftiple systems serving any function, make multiple entries to describe them.
One copy of this form shall be prOVIded to the Building and Zoning Department at final inspection.
" r)e copy of this form shall be provided to the homabuyer.
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