HomeMy WebLinkAbout1533 Purple Sage Ct - Disclosures - 01/10/2003the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX: 9%7�0�224 6134
P`,I��_ )/Iris_ VI
Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
mchdisc2xls—7110198
Job Address:
General contractor:
Mechanical contractor:
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Location
Fuel
Tvoe
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSPF
�.
d
B Space cooiingaystem
Location
Fuel
T e
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
`
-::.
ater.. heath s ste :: ; :::::: :.; :::;:;:::::::.; ....:::::.::::.-::::::.:::::.::::.::.:::::::::::.:.::;::::::.,................:........................
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Location
Fuel
TvDe
Manufacturer
Model #
Input capacity
kBtuh or kW
Energy
Factor
Storage
volume
Cerfa eon :::::.:::::::::::::.::::.::: .......:;:::::::::::::::
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:
'�-1—
Signature: Date: O — 7_0l7
Business Firm:
FO !E; Phone: q % - 4, 7 ,09U