HomeMy WebLinkAbout251 Cajetan St - Disclosures/Mechanical - 06/20/2006Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
me::dise2xts —711 J98
the building & zoning dept. of
Community Planning and Environmental Services
251 N. College Ave., P.O. Box 580, Fort Collins, Co 80522
Voice: 970 221 6760 FAX 970 224 6134
Location Fuel
T ae Manufacturer
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Model #
,h a�6
( Input capacity AFUE or
kBtuh or kW HSPF
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B. _Space cooling system
Location I Fuel
I Toe
Manufacturer
Model #
ModeloP
Input
II
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SEER
I
I I
- -
3
C 'Water heating system
Location Fuef Tv a In put capacity Energy Storage
Manufacturer Model # kBtuh or kW Factor volume
Certification
1/We certify that the above listed equipment (including ducts and piping) was installed in the building at the above locations
in conformance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that
such equipment was installed in accordance with manufacturers' instructions.
Person Certifying Jo
Signature:
Business Firm:
Address:
s L91/ �7
Date:
Phone: