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Home My WebLink About1326 Sunflower Dr - Disclosures - 08/22/2003AUG 2 5.2003 A — Fort Collins Residential Energy Code the building & zoning dept. of MECHANICAL DISCLOSURE FORM Community Planning and Environmental Service mchd1sc2As-7/10/98 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522 Voice: 970 2216760 FAX: 970 224 6134 Job Address: 13 /Z & General contractor: t-9v-r)rj i-a Mechanical contractor. - . . I . . . . . . . . . . . . . . . . . . . . . . . . . ........... 'A" S ..... * ...... ....... ....... ........... ............. .. : ...... .................. .......... ...................... .............. ............. ......... ................... ...... ............ ................ ..................................... .................. ... ...... I ...... .......... ................... ... .......... ............. ............. ... .............. ....................................... . . ...................................... ..................... Location_ Fuel Woe Manufacturer Model # Input capacity or kW_ AFUE or tLSPF 1125 —&Bjuh 6 _ .-...... .. . .... . .. .. ..I ................ B.:SPqce.cooljngp ... . . . . . . . . . . . . . . . ............ .......... ........................ ......... ..............'........-.................... ... ............................................. ......... ......... . ...... ....y..............................................•...... .... ... . .. ................ Location Fuel Tvve Manufacturer Model # Input capacity kStuh or kW SEER I C..:.:.................-... '............ ............. ......... .......... ....... . . . . . . . . . • ...................Waierhea IncayW............................... .................... ... ................. ........ ........... ........................ .... ............... ...................I................................... I Location Fuel Tvoe Manufacturer Model # Input capacity Energy Storage Btu b or kW Factor volume " ". %1.1:1.•, . . . . . . . . . . ... * * I I . . . , .:. . ................ . . . . . . . . . . . . . . . . . . I.. I.%' . .1. .-.1.-.-.-.- . . . . .*. I.% , = . . . . . . . . . . . . . . . . . . . . . *.".".,*..'..*.....'..'-.....'..'..'.*.-'.-'...'...'...'.*.-.'-...'.. . . . . . = . . - ,:*•....................................... ertif *.,.,.*.,.,.-....,..,.-............- . - . :. . I . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . .. . . . . .. . . ............. . . . . . . . . . . . . . . . . . . . . . . . .•.•. .•. . cation::......::t-'* ... ... . . . . . . . . . . . . . . . ...... . . . . . . . . . . . . . I . . . . . . . . . . . . ..... . . . . .. ....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...... . . ... . ......... ..................... . ............. ................ ........ .. - ... ... . .............. . ............. .. ...... . . ..................... ........ ........ ........ .................. ..... 7., I/We certify that the above -listed equipment Qnci'u*'..d....ing'..d.'.'..u......cts and piping) was 'i*'n'iiill'e**'d"i"n"*'the ... buIIdIng 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: Signature: 42��- ,*- Date: Business Firm: /9 I 1h S/-10 M 71TA 7 771/2 Address: MAW Phone: q -7,o - && 7- q,700