HomeMy WebLinkAbout1209 Saint Croix Pl - Disclosures - 10/20/2003 (2)r-Qr>: I-olilns residential energy code 7/96
Mechanical systems disclosure form
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Job address: _
Ceneral contractor: Mec;tanical acritractar: _
lNater heaf;r;`9 .
:s.ystem :..
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e! Tvoe I Manu
Model
Input capacity I Energy Storage
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Factor volume
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C217tifiCatibn
cure certIfyeq .hat the above -listed equipment,{vas installed in the building at he Bove location
current reouirements of the C;ty cf Fort Collins nesidenttal E. ner s in conformance `Nith the
accardancz with manufacturer's instructions, r 9,' 1-ee and Mechanical Cade, and that it was instilled in
the current requirements of the �; �e certify `hat any ductwork has been at
in co
Y of Fcrt Collins Residential Energy Cjde and Mechanical Code niormance with
Certified by: P1 a r k S h a d o w e n
Business firm: °vane; la's)
address: ,1, _ :tc.:..rate:
Signature
'''s esc,osure -ern �s :a ce eic ea �v �e mec
='ease r; e cr nanrcat _
P nnt. �xcaot -a; -he signature. ontf ac r acresen,attve of `he cenerar contractor.
`tie -re r,•yinote systems servrng any neon. make rn �ne ccov Jrtic,e en*,nes t: desc^be .;nem.
snarl ne cc--:v -e cw reed ;e cwicina =nd Z:nine Cecartmentat' nal inseec^on.
= `..;IS rcrrn Snell Ce crevlcea iJ 'he namedUVer.
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