HomeMy WebLinkAbout6603 Antigua Dr - Disclosures - 07/02/2000 (11)u3/u711uu 13:57 kAS 970 464 4448 ALLEN FLPIBING�" 0 002 e. �r-cc7-�J34 P.02
No
Fort Collins residential energy code 7/96
Jobaddress:--do S AnLiv ii Dr. (#
General contractor; TuK,<s Goa trustTo,, Co.
Mechanical contractor: A ue M plu,"., b; r1q g i{e • i 1
Spate.heating system..::>.
Location Fuel Tvpe Input capacity AN.E or
Mrnufacturer Model kBtuh or kW MSPF
Space cooling system
Location Fuel T e Inputcapacity
Manuf rer Model f katuh or kw SEER
ater, heating system
Location
Fuel
T
Men starer
Modo1 tt
PeJo-?io-fJ�
Input capacity
8t h or kW
D cr�o
Energy
Factor
Storage
volume
�O qa
Certification
IlWe certify that the abovedtsted equipment was installed in the budding at the above locations in conformance with the
current requirements of the City of Fort Collins Residential Energy code and Mechanical Code, and that it was Installed in
accordance with manufacturers instructions. VW* certify that any ductwork has been installed in conformance with
the current requirements of the CRY of Fort Collins Residential Energy Code and Mechanical Code.
Certified by: -Ise z� o c� Phone: 4/i3-I- q eq I
Business tirm: Da4e:
Address: Signature:
instructions
This disclosure form as to be signed by the mechanical contractor or representative of the genera contractor.
Please type or print, except for the signature.
If there are my*le systems serving any functlon, make multiple entries to desorDe them_
One copy of this form shall be provloed to the Building and Zoning Department at final inspection.
^ne copy of this form shall be provided to the homebuyer.
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