HomeMy WebLinkAbout4603 Chokecherry Trl - Disclosures - 12/28/2001 (2)FROM : BUCKHORN HTG FAX NO. : 9706692552 Dec. 28 2001 08:47AM P2i5
Fort Collins rosident'lal energy code 7196
Mechanical systems disclosure form
Job address: O
• Gendral contracto •
Mechanical contractor, AT
Space heating systeln
Space cooling system
Water heating system
Certification
ft 3 • F-r—
,IWe cenity that U14 above•listad equipment was installed in the building at the above locations in conformance with the
current requirements of the City of Fort Collins Residential 5nergy Code and Mechanical Code, and that it was installed in
accordanco with manufacturer's instructions. GWe cottify that any ductwork hos been installed in conformance wdh
the current tchuirements of the City of Fort Collins Residential Energy Coda and Mechanical Code.
Certified by• Phone; 6110 162Z, Q1-7
Business tirin pate: . 01
Address•' trio.. S I�wftt�c�f'J Signature:
Instructions
This attctosure form is to Ue Boned by the n'teCh.1nic21 CPntr:ietOr or represcnlnlive of Ih� g
Please typo or print, except for the signature.
It theta ate multiple systems serving any function, make (Multiple entries to describe thorn.
One copy of this [arm shalt be provided to the Ouilding and Zoning Dopartment at Gnat inspection.
one copy of this lorm shall be provided to the homobuyer.