HomeMy WebLinkAbout2509 Clarion Ln - Disclosures/Mechanical - 09/12/2008V.Y. IL• LVVV /. IV III,,
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Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
mchdisc2,4s—711OMS
Job Address:
General contractor.
Mechanical contractor:
the building & Zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Foil Collins, CO 80522
Voice: 970 221 6760 FAX: 970 224 6134
M, fc.iti"r1N � •____
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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 this form must be made available to the original home buyer.
e.heatln...s s
;S Space coohng:.sYStem :.:
...................... ................
::.:>...,:::::..:............ ...........................
heat�.tlg system:...
Input capacity I Energy I Storage
Certlfica�lon..:: :..,....:..
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1/We certify that the above listed equipment (including ducts and was installed in the building at the above locations
piping)
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 Job:
re:
Date: Ck %.Z
,s Firm:
Address:
Phone:
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