HomeMy WebLinkAbout2127 Copper Creek Dr - Miscellaneous - 04/28/2001 (2)MAY-11-01 FRI 12:15 PM WRITER NORTHERN FAX N0, 970 613 0043 P. 02
energy
Job address:
General contractor:
WsChanical contractor:
Space heatincg:system.
Space cooling system
certification
current requirements of the City of Fort Collins Residential Energy Code and Mechanics[
INVe certify that the above4isted equipment was installed In the building at the above locations In conformance with the
Code accordance with manufacturer's instructions. IJWO certily that any ductwork has been installe,nd that it was Installed in
d ias conformance with
the current requirements of file City of Fort Collins Residential Energy Coda and Mechanical Code.
Certified by.Q%Phone: p�
Business firm: .ow-+ Date:
Address: Signatu
Instructions °
This disclosure form is to be signed by the mechanical ocotntractor or representative of the general contractor.
Please typo or print, except for the signature.
If there are multiple systems serving any function, make multiple entries to describe them.
One copy of thls form shall bo provided to the Building and Zoning Department at final inspection.
One copy of this form shnll be provided to the homebuyer.
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