HomeMy WebLinkAbout2203 Copper Creek Dr - Miscellaneous - 12/12/2000 (2)DEC-27-00 WED 10:36 AM WRITER NORTHERN FAX NO. 970 613 0043 P. 04
energy code
Job address. -
General contractor:
Mechanical contractor:
Space heating system..
Space cooling system
Water heating system
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Input capacity
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Energy
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Certification
I/We certify that the above -Gated equipment was installed in the building of the above locatfons in conformance with tho
current requirements of the City of Fort Collins Residential Energy Codo 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 eurront requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by: y/ Phone:67 3(411-i�
Business firm; Date:
Address: Signat
Instructions!
This disclosure form is to be signed by the mechanical contractor or representaUve of the general contractor.
Ploaso type or print, except for the signature,
If there aro multiple systems serving any function, make multiple entries to describe them.
One copy or this form shall be provided to tho Building and Zoning Department at final inspection.
One copy of this form shall be provided to tho homebuyer.
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