HomeMy WebLinkAbout327 Peyton Dr - Disclosures - 01/06/2003 (3)the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 221 6760 FAX: 970 224 6134
Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
mchdisc21ds—7/10198
Job Address:
General contractor:
Mechanical contractor:
Location
Fuel
Tvpe
( Manufacturer
I Model #
Input capacity
I kBtuh or kW
AFUE or
I HSPF
................................................................ .
B space coollrig system
Location
Fuel
Tvpe
LInput
Manufacturer
Model #
capacity
kBtuh or kW
SEER
G Water heattn s stem
....
......... ......... g .:Y ..
Location
Fuel
Tvpe
I Manufacturer
I
I Model #
Input capacity
( kBtuh or kW
Energy
I Factor
storage
I volume
Ad
40 R�0
ya
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IMe 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:
Business Firm:
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