HomeMy WebLinkAbout3623 Copper Spring Dr - Disclosures/Mechanical - 04/14/2008Apr 15 08 10:41a Mike Wetzbarger 970 416-6536 P.1
Fort Collins Residential Energy Coda the building & zoning dept. of
MECHANICAL DISCLOSUREFORMCommunity Planning and Environmenjal services
281 It Colege Ave, P.O. Box SM. Fea C4jgrs, CO SO=
%kV'WW a7n 7" IM FAX 9M 224 6134
Job Address:
General contmator.
Mechanical contracta
VC
This disclosure form Is to be signed by the rnechafftd contractor or represeestally a of the general contractor_
Please type or print except for the skpudm-
If there are multiple systems sartlrq; any function, make UWWPIO entries to describe Viern.
One copy of this form ffurA be provided to the Building and Zoning Deparbnent prior to the C_O_
One copy of this form must be made available to the orIgInal hwne buyer.
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[me certify that the
Oncl"ng dUcts a — 7-andPiPhW VMS butalled
In the bmWff% at the above Iocadon
in confannance with the MWroments of the Fort Collins Reddeg" Energy Coda and Medhanical Cade. and fiffther, that
such eqyApmeW was haftaW to accordance vAth rnanutachut-w hmkucllons.
Person CerWng jotr
Signature: tZZ.4fz,9'?,,- Date-. Al— / q.— 0 8
Business Fin= I±EA 11AIG + at& jr, 04 1 AC jr
Address: -'::k I Lf At K J,4/ W WIT A �