HomeMy WebLinkAbout2038 Raven View Rd - Disclosures/Mechanical - 11/21/2007FROM :ROBERTS
FAX NO. :9708973151 Nov. 21 2007 10:13AM P1
Fort t+olllns Residential Energy Code
MECHANICAL DISCLOSURE FORM
mons.m.M. amass
Job Address:
Oamral contractor.
Mechanical contractor
the building dt zoning dept. of
Community Planning and Environmental Services
2e1 N. CoregeAve., P.O.110 680, Fart Callkr, Coo= _
Vdke; 9711221 OM FAX GM 224 8134 '
INSTRUCTIONS
This disclosure form is to be signed by the mechanical contractor or representative of the general contractor.
Please type or print, except for the signature,
If them are multiple systems serving any function, make multiple entries to describe them.
One Copy of this form must be provided to the Building and Zoning Department prior to the C.O.
One copy of this form must be made available to the original home buyer.
A. Space heating system
KAM
B. Space cooling system
C. Water heating system
I E MMY I etorep.
Certification
lNe 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 land Mechanical Code; and further, that
such equipment was installed in accordance with manufacturers' Instructions.
j
Parson Certifying Job: ffoberi L Cb bega e'.
Data: 1112.1
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Address: Yi
1), nYLt—C-Q._ g Phone: 9rio -8917- 2.3