HomeMy WebLinkAbout1825 Jamison Dr - Disclosures/Mechanical - 12/09/1997IA_• �' �I_, 1C;t�1 ._rl.rtjl'!�>7 _, HI` F�-..:�LI_I(;1:. T_�
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Fort Collins residential energy c.ncle 7196
Machanical systems diz�dostare form
Job addresu:
General contractor: _
idEcftanlcal contractor:
Space hosting system
Space cooling system
Locath
Wa<< r heating system
Fuel
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Certification
input ral:acity
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Input capaclly
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l Input capar,ir� 1 fly Sturaye
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vNe certtythat the above-1'isled equllrr.e�t was installed in the building at the above h>ca!ron& in conformance vAh the
ruuent!equiremeMs of thA City Of Fort Collins Res+,enUaI l-rergy Coda and td�erh:,n�cal Dade, a+?d that it was installed in
a.Qo rdance wa`t 1n2n ufactur er's t.'1strvctlons. lWo ce!!.t; that ductwotK t,89 betn insta.'trd to conform once With
Ut5 cunent 1equ;rements of the city of roll Coil, uesident'a: Fneroy Code and &".han;r_al Code. % , V-
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ertifled by: no: --
nr Date:
Business firm: 1' ? --
Address: _`E ' _� �_, _ Signature: ✓. C�!'f�J _
instructions
This disclosure Corm Jr. to be signed by the rneohanicel contractor or !zpresental ve of the general centractor.
please type or print Axcept for the eignature
!f there are molt pie systems tieh"Ag any function, make multiple entries to describe them.
One copy of th s form aha11 be prvAad dad tto Tt,G o the'-o Ceouyara Zoning NPRment atonal inspeccn
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