HomeMy WebLinkAbout614 Keenesburg Ct - Disclosures/Mechanical - 12/01/2003Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
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Job Address:
General contractor:
Mechanical contractor:
the 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: 970 224 6134
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C Water heatin s stem
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/We certify that the above -listed equipment (includin duc....................... ` `' `
9 is and i in 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:
Signature:
Business Firm:
Address:
Phone:
l;ort Collihs Residential Energy Code
MtCNANICAL DISCLOSURE FORM
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Job Address:
Geheral contractor:
Mechanicall contractor:
the 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: 970 224 6134
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Location
Fuel
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Manufacturer
Model #
Input capacity
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Input capacity
Location Fuel T e Manufaclurer Model # kBtuh or kW SEER
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Location
Fuel
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Manufacturer
Model #
Input capacity
ketuh or kW
Energy Storage
Factor volume
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Date: ,7-'1 ZDO'4
Phone: