HomeMy WebLinkAbout3051 Sage Creek Rd - Disclosures - 12/26/2001 (4)11/19/2001 15:01 13036555051
CONTRACTORS
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Job address:
General contractor:
Mechanical contractor:
Space heating system
Space coaling system
Water heating system
Fort Collins residential energy code 7196
Mechanical systems disclosure form
Certification
UWe certNy that the above -listed equipment was installed in the building at the above locations in conformance with the
current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code, and that it was installed in
accordance with manufacturer's instructions. IMO certify that any ductwork has been installed in conformance with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by: ROBERT R MILLER phone: (970) 223-8873
Business firm. Epp ,tR� IlVC.Date:
Address:1823 E HARMONY RDA Signature:
Instructions
This dtsciosure form is to be signed by the mechanical contractor or representative of the general contractor.
Please type or print, except for the signature.
If there ere multiple systems serving any function, make multiple entries to describe them.
One copy of this form shall be provided to the Building and Zoning Department at final inspection,
One copy of this form shag be provided to the homebuyer,
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