HomeMy WebLinkAbout2245 Marshfield Ln - Disclosures/Mechanical - 03/04/2008Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
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.fob Address:
General contractor.
Mechanical contractor.
[' STRLiCTIUNS -
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 there 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 fhis form must be made avaiiabieto the original no buyer.
A. Space heating system
meUi[d�ng & zoning Kepi-. of
Community Planning arrd Environmentaf Services
281 N. College -kve., P.O. Box 5K, Fo, ; Coffins, CO 80522
Voice: 97D 221 6760 Fes: 97D i14 5t 3C
B. Space coofing systerri
C_ Water heating system
fFUE
Input capacity I F"rgy I Storage
ianxless I. Rinnai 2520 180 kBtuhl 0.82 3/4 gallon
c�ertifcafian
UWe certifyihat the above listed the equipi
reqping) was installed in the building at the above locations
in pment (including ducts and conformance wi h uirements of the Fort Collins Residenti
such al Energy Code and Mechanical Code; and further, that
eeuipmentwas installed in accordance.xif-
n a utac urers` instructions.
remort Ceri=ifyinR job:
Business
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