HomeMy WebLinkAbout839 Southridge Greens Blvd - Miscellaneous - 05/22/2001 (2)Fort Collins residential energy code 7/99
Mechanical systam& 4;,-1—
Job address:
General contractor:
Mechanical contractor: NORTHERN
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Space heating system
Space cooling system
Water heating system
Certification
Input capacity I Energy I Storage
I/We certify that the above -listed 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 it was installed in
accordance with manufacturer's instructions. I/We certify that any ductwork has been installed in conformance with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by: ROBERT R MILLER phone: (970) 223-8873
Business firmNOR2r1 C'OIORADO AIR, INC.Date:
Address:1823 E HARMONy RD Signature:`
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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 multiple entries to describe them.
One copy of this form shall be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer.
mchd=-bMS23 - 624.96