HomeMy WebLinkAbout2627 Chase Dr - Miscellaneous - 05/15/2001-98 08:38A Building and Zoning Dept_ 970 224-6134
REC'D MAY
Fort
Job address:
General contractor.
Mechanical contractor.
Space cooling system
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MON
Water heating system
energy
Certification ..; . - .
UWe c80y that the above -listed equipment was irstakd in the bukkw at the above, bwbons in coMotmance with the
current reqube,me,nts of the City of Fort Colins R"Wer till Energy Code and Mechanical Code and that ti was Insbdmd In
accordance with manufacturers inStrucgons. Wye certify that any ducbNwk has been installed in eordonnance with
Me current requirements at the City of Fort Coffins Residential Energy Code and Mmhatdcat Coda.
Grtitied by ice;. L, r-se Phone: _A{91-3-Zo-'Zl
Business firm: a.gr+L q ^\\,e a onto:
Address: Signature:
I itructicns
This disclosure form IS to be Signed by the mechanical contractor or representative of the general contractor.
Ptew type of print artcept for tM signature.
M there are multiple systems serving any function. mske multiple entries to describe them.
One copy of this form shag be provided to the Building and Zoning Department at linai inspection.
One copy of this form shag be provided to the hornsbuyer.
P.O1
22200,