HomeMy WebLinkAbout500 9th St - Disclosures/Mechanical - 05/02/200611
Fort Collins Residerdial Energy Code the building & zoning dept. of
MCICA1. DICLOSURE FARM Community Planning and Environmental Services
7n 281 N. CoMps Ave., P.O. Boot 580. Fat Coins. CO MW
Vd= 970 2216M FAX 970 224 6134
Job Addr+ass: S"o o ��G f f
General contractor.
MeaMnkxl contracWr.
...,.+ ^
IFtfi7i7;7.irewr.•r•s �c.ws...:r.:..............._ --------:w.«.....................».»............__.___----------
This disdosurre form is m bs signed by the mechanical conVad.--_or or repusser16Uve of #09WWW contractor.
Please type or pdK except for the signature.
If them am mudtiple systems serving any function, make multiple entries to describe them.
One copy of this form must be provkled to the Buliding and Zoning Department pdorb the C.O.
One copy of this form must be made avoil" to the wWnal dome buyer.
n
Fuel
.�T=
Manutacturer
Model B
Inputcapsdtt/
kBtah or
AFUE or
P .
C ra '..! S q r�
�•t S
ru 16co
W4`►
�/rt of air
Input aawAV
Enemy
Sibmrape
-F
Man
p
kBtuh or kW
Fader
e:� floor ec�. l'�o
�4t
77,/i�.r0��
/?,a7(c �o%��
�
4/0000�
ZfF
� a/
77111
--- .......
INYo certNy that the above -fisted egcdpmettt (including duds and piping) was Walled in the buikting at the above io
in conformance with the mquirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that
such equipmertt was hu tstied in accordance vritfi manufacturers' Instructions.
Person Certifying Job: - ��p„be,
qK�
Business Firm: �rQ o� �Nf�a�Ppv,r
Address: /S'7/
OMwr.a• 7 � 2 � � 6 �•