HomeMy WebLinkAbout2009 Lookout Ln - Disclosures - 11/20/2000-20-00 11:32A Plumbing Services
1-970-667-9043 P_02
s res
Job address:
General contractor.
Mechanical contractor:
Space t>eat[n system.'- , ,aa,t t �a
energy
Location
e
Manufacturer
Model #
Input capacity
k8tuh or kW
AFUE or
I HSPF
Space cooling system, ,
`
oceFuel
Tvc*
Manufacturet
Model q
Input oapaclty
kBtuh or kw
SEER
Water heating system
tl n
Fuel
Tvcs
Manufacturer
Model s
Input capacity
kBtuh or kW
Energy
Factor
Storage
volume
CeRiflcatiOn .,.. ',
VWa certify that the above,tasted equipment was installed in the budding at the above locations in conformance rvtn the
Current reg61remerus of the City of Fort Collins Residential Energy Coda and Mechanical Coda, and that It was instated in
accordance vritA manufacturer's instructions. VWe certltythat any dut.•twork has teen Installed in conformanceAft
the current requirements of the Ctty of Fort Collins Residential Energy Code and Mechanical Code,
Certified by: li ' Phone:
Business firm: _Tne . Date:
Address: VI,,Signature.
Instructions.'.... .
This disclosure form Is to be signed by the mechanical contractor or repreaentative of the genwal conaac:oi.
Plaass type or print except for the signature.
If there are multiple systems serving any function, make muldpls entries to describe them.
One copy of this form shad be provided to the SuRdIng and Zoning Department at final inspection.
One copy of this form shag be provided to the homebuyer.