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HomeMy WebLinkAbout514 Peyton Dr - Disclosures - 12/01/2003 (3)the building & zoning dept. of Community Planning and Environmental Services_ 281 N. College Ave., P.O. Pox 580, Fort Collins, CO 80522 Voice: 970 221 6760 FAX 970 224 6134 l Ort Collins Residential Energy Code MtbHANICAL DISCLOSURE FORM hichdibc24ds —7/1 nvs8 Job Address: Geherai contractor: Location Fuel ? 1C Manufacturer Model # Input capacity k8tuh or kW AFUE or HSPF Y. cvolih9. s se tm LInput capacity Location Fuel 7 e Manufacturer Model # tuh or kW SEER ........... . C:::::. a{er.•;.Heatin .`s `stem :. .. • ... ........... I� ..... Y........................ .........::':::.:::.:::::.::::::::::. Location Fuel Type Manufacturer Model # Input capacity k8t1uh or kW Energy Storage Factor volume GAS (W' F qn .........W...0:.........Z-................................................................................................................. :Ceti' ........................................................................ ......................... ........................ ...............................................................................:::::'.:::......................... ............. ...................................... ....................::::::::................... ..............................................::::.:::::::..:::::.::......:::::'::'::::::::::: •:::'::::: UWi peFN y hat the above -listed equipment (including ducts and piping) was Installed in the building at the above locations In boh6mahce with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that sUt:fi edUi0rti6ht was Installed in accordance with manufacturerg' Instructions. t'btsbti Ceffifying'Job: • sl •Hd�ilf�s ��� _. tZI Date: r�i��'i��� �ii-hi• • _Address• �J lo�l ,��-���r�,.t P,t vn Phone 3 i-/&& !R�! Fort Collins Residential Energy Code MECHANICAL DISCLOSURE FORM mchdisc2.xls—7110/98 Job Address: General contractor: Mechanical contractor: FtW; [V 5` -w ' f ►ii 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 B Space coolin stem ... JY... C..:::Water heatm s stern 9.. Y -: ..... . Certlficaion . .... ...... . . .............. ;:.:;.::;::.: ;..:.:::;;::::`: ;::..: I/We certify that the above -listed equipment includin ducts and i in was installed in the building at the above locations g in conformance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further such equipment was installed in accordance with manufacturers' instructions. ,that Person Certifying Job: Signature: � �- Busine � Address: /i Date: I Z r! 1 zv©3 Phone: f M- 4(,&,2— t , 3