HomeMy WebLinkAbout3344 Golden Currant Blvd - Disclosures - 12/04/2002Fort Collins Residential Energy Code ff';e building & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
mc;hd1sc2Ax —711 WO 281 N C011996 AVO, P.O. BOX 580, Fort Collins, Co e0522
Voicc-9702218760 FAX: 97022461,34
Job Address:
Gensiral contmotor:
Mechanloal contractor:
'N
............
This discfowre form is to be signed by the rnachanic7e3l conti actor er representative of the general contractor,
Please type or print, except for the signature.
If there are multiple systems serving any function, reke multi le entries iz, describe them,
One copy of this form must be provided to the Building and Zoning Departmimt prior to the C.0,
Ones copy of this form must be made available to the original home buyer.
............ I . ... ... 45
........... .. ......
. ....... .......
.. .. ....... .
..........
'_& .. . ... ........ .
-';AqV. 0 1. ng"*y .......
... .. .... .
Location
Fuel
Twe
Minufacturer
Model 0
Input capacity
k8tuh or M
SEER
. .... . ........
. . .......... ....... . ....
............ . ....... .... . .
....... .. : ............ ........
.... .... .
...........
Vwe certifythatthe above -listed equipment (including ducts and pi Ping) Was installed ct the building at the abov"a" .. locations
.
in oonformance with the requirements of the Fort Collint, Residential Energy Code and Mechanical Code; and further, that
such equipment was installed In accordance with m4nufw:,turera! instructions.
Person Cerfifivinc Job:
Date- _Z2-/Vc
Business
Address-