HomeMy WebLinkAbout6603 Antigua Dr - Disclosures - 07/02/2000 (6)UJ/UI;UU 13:57 Fd1 970 484 4448
ALLEN PLPIBING ..,
16002 ❑.02
Job address:_&(2
General contractor: 7'arar
Mechanical contractor: Alieh
Space heating system
Isms resldent
anicall sa
Ant",jtrg Pr
vM5t /Uct � o h
il energy code i
disellasure for
(:it --
Co.
i tit ra
Input capaalty AFUl= or
Location Fuel T e Manufacture Model V kBtuh or kW HSPF
Space. cooling system . - -
Location Fuel -Tvpe Manufacturer Modei! Ik6tuhcaoprkW SEER
"ater heating system:
Location
Fuel
T
Manufacturer
Model!
Plt(,•�10- K
Input capacity
ket h or kW
D crop
Energy
factor
storage
I volume
=1c� q<
Certification
Me certify "the above4isted equipment was installed in the building at the above locations in conformance with the
current requiremant9 of the City of Fort Coiling Residential Energy Code and Machanical Code, and that it was installed in
accordance with manufacturers instruetiona_ VWG onrtify that any ductwork has been installed in conformance with
the current requimmants of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by; �Je 2 n � C
Business firm:
Address:
Phone: yf3L!-N��f I
Date: '
Signature:
Instructions
This disclosure forth is to be signed by the mechanical contractor or representative of the gerteral contractor.
Please type or print, except for the signature.
If there are multiple systems serving any function, mace multiple entries to degcribe them.
One copy of this form shall be provided to the Building and Zoning Department at final inspection.
"lie copy of this form shall be provided to the homebuyer.
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