HomeMy WebLinkAbout1350 Basseterre Pl - Disclosures - 12/06/2001 (2)Lffic
rt Coruna Residenti4l EnergyCode
HANICAL DJSO1,OS RE FC
hdtsc2ils—711GI96
Job Address:
General acntractor, .
M4ehanicai contractor:
the building A zoning de sit. of
Community Pixnn%g and fnvirorlrn 00I SOMICeS
291 N. CoYegeAi•,, P•O+ PQXUQ, Fort QD11I+, CO IDS22
voka- 070 = 0700 FAX §70 224 $134
This dtaclosure form is to be signed by the meehanial contractor of representative of the genOMI A.1intrector.
please type or print, except for the signature,
If then are mull pie systems serving any function, make~ MuMple egtrjes to describe them,
One copy of this farm must be provld•d to the 8utlding and ZonkV DeprAment prior to the C.Q.
one copy of this form must be made available to the. original home buyer.
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fY od eq pna n Qn ding dcib� and piping) vva3 iristatled In th* bu Idir a At the above #wcsticns
in conformance with the requiretnants of the Fart Call[ns Raicfetftl Energy Cade and Machanlral V Wei and further, that
such equlpmentwas Installed In accordance with manufacWrers' lnstrucdons.
Person Certifying Jab.,