HomeMy WebLinkAbout702 Glenloch Dr - Disclosures - 11/05/2002Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSP
s
Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE .FORM Community Planning and Environmental Services
mchdisc2As-7/10/98 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX 970 224 6134
Job Address:
General contractor
Mechanical contractor
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I I Input capacity
Location Fuel Tvne Manufacturer Model # k luuh or kW] SEER
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Input capacity Energy Storage
Location Fuel T e Manufacturer Model # kBtuh or kW Factor volume
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I/We certify that the above -listed equipment (including ducts 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 in accordance with manufacturers' instructions.
Person Certifying Job:
ajgnature:
Business Firm:
Address:
Date: //r rj-"doh
e
Phone: Cj `V — A `)? -- a