HomeMy WebLinkAbout810 Crooked Creek Way - Disclosures/Mechanical - 10/09/2009Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORAA,
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Job Address:..
General contractor: -
Mechanical contractor.
the building & zoning dept. of
Con r iuriity Pianit and Erivirorunental Services
281 N. College Ave:, P.O. smc 5w, Fort Coffins, CO ww
Voice: SM 221 6760 FAX GM 224 6134 .
INSTRUCTIONS
This diisclosure 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 muttiple 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
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B. Space cooling system
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C. Water heating system
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Certification
UWe certify that the above -listed equipment (including duds and piping) was installed in the building at the above locations
in conformance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code. and further, that
such equipment was installed to accordance with manufacturers' instructions.
Person Certifying Job: -,%e
-Address: aS
- 61 W ,.iZ.
CO 9X 3q - Phone:
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