HomeMy WebLinkAbout7324 Streamside Dr - Miscellaneous - 05/11/2000FROM : LOCAL FURNACE CO
N❑v-06-9: 11:32 APB
PHONE No. : 970 226 3619 May.
MARTWORD CORPS.
ential energy
11 2000 01:03P1.1 P1
jGbF i s:-
General contractor.
Mechanical contractor:
Space heating system
Locatio
Fuel
T
Manufacturer
Modet 0
Input capacity
k8tuh or kW
AFUE or
HSPF
ne
Space cooling system
Water heating system
ocatian
Fuel
T
Manufacturer
Model #
Inputcapacity
k9tuh or kW
Energy
Factor
Storage
volume
Certification
VWe certify that the above -Wed equipment was installed in the building at the above locations in conformance with the
current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code, and that t was installed in
aoeordance with manufacturer's instructions. VWe certify that any ductwork has been installed in conformance with
the current requirements of the City of Fort C011in5 Residential Energy Cede and Mechanical Code.
Certified by: ocj)il 1Ir'
Bisslness firm:.tC;CgL Gar o
Address: Z01, rrT oI ``c`S„-�r
Phone: �aj 0 ZZ Co -U219
Date: j7 t t - oTn 4,
Signaturet�
5e
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 setving any function, make multiple entries to describe.them.
One copy of this form shag be provided to the Budding and Zoning Oeparlment at final inspection.
One copy of this form shall be provided to the homebuyer-
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