HomeMy WebLinkAbout4920 Mcmurry Ave - Disclosures/Mechanical - 12/23/1998 (9)Dec 23 98 09:02a
PVR
970-493-2073
p.8
Job address:
Ganaral contraC.or.
Machanieal contnt✓or.
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Me car* list the above -Wad equipment was hawed in the bul&g at!he above!Gal ons in conformance with the '
Current raetrcemanta of die CRY of Fort CcIns Ras,deneal Enorgyr Cede and Modwical Lode, and that t wu instaCed in
accordariee wfth manufacturers inscuc:ona. NNe cK* Nat any duc`vork has been inswed in conformance •with
71e arrrert:aquremeritr of the C.'�r of Fort Ccillm Resderi t Energy C :da and MachaNeal Code.
Cartifled by: C.n: {tL„ -o Phone: -4 s-2-45"�0
Business ftrM: 04"-- wl - Date: 1212-a i 9
Address:Xt2.sjrc.Jcaw ,rr., . Signature:
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Ihia EsdesUfa form Is to be ',cried by the msca amad connew or rapresentaeve of the Samna, contactor.
Posse "a or prim; except for ute signature.
If there as ntuMos systems serving any l4ncicn, make mu%oe onales to descnbe them.
One Copt W M form ehal be provided to the OulQng and Zoning Depaniant at anal inspec:on,
CAS, Copy of this form strati be provided to the hemabuyer.