HomeMy WebLinkAbout1526 Carmela Ct - Disclosures/Mechanical - 06/21/200004120/1996 07:41 970-667-4903 GIBSON HEATING PAGE 04
Fot� tl�tsldef{ i energy code 7/96
fft4 ;disotttieure form
Job address: �,►. ,.~
General contractor:
Mechanical contractor: "T '
...
Spat
e , t nr
i Input capacity AFUE or
Lacation Fue or tNo e{ q kBtuh o HSFF
k M J� M :`A- G 1;iGlHib a .RrO �' ,) •?
5act= tooting system v`�"'Y" f�,' {
Input capacity
LocationMa a k8tuh or kW SEEK
it iJt
ti, r
u
"dater Y..
eating s stei
.. - .. .. r:. .. �%frw lxs''Lra ,._• r aye i... .x t r ti . r. .
` Inputcapgeity @nergy Storage
Location ;y r r Model * kBtu'h or kW Factor votume
rl
:PxrtlrCataO'. "* 'ip✓� i yFt
vi�p„
n ' Web�$dlr+lal e certify thatthe above Baled agWp
the amer�e cacti bove locations in conformance with the
urbentrequuarnenta of the City of Fort Ci9 kis �
!r'Cgf 'isrid:Meohanlcal Code, and that it was Installed In,,
cp+danze With manufacturer's Inatructbda 11"q` atpr�fil*01Ieaa been ktstatied In conformance wish
le carrent-requkements or the city of Fott Cp�lfta , :11'. ttlltA� '400w arid Mechanical Code.
Certified by:,
Rortei"-�-�
Business firm:
Address;.
nstre�ct�gfis ......,,. `,.xmnr{7 "•� •` ,
. ,.. .. .•.. yr .�. Y t.. xr ¢.+..xm n,:...... r ri i..',.
tits disclosure form Is to be st heal Ihrf, "
taaSa g tl►t><ft ',rs, t bl of repjtrsentative of the generat contractor.
type or print, except for the efgtrohua
titt!re are multiple toms servin an P Ya 9 Y rgf+Clka{ts slo,:describa them.
ins copy of this form shag be provided tglhe"� g De�iftri+enl at final inspection.
an+u nopy of IWs form shal be provided to;,jhe: '
mmo,e.,e,nsn -rr2uw
� s .