HomeMy WebLinkAbout5050 Brookfield Dr - Disclosures - 11/24/2003 (2)FEB-27-2001 TUE 01!45 FM F0 BUILDING AND ZONING
FAX NO. 0702248134
F. 01
Fort Collins Residential Ehargy Code
MECHANICAL OISCLOWRE FORM
aw.%igua.o -M&W
Job Address: 50sv
General contractor-. CAA rfA U
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Mechanical contractor r
the building At zoning dept. of
Community Planning wW Environmental Service
2SI N, ColageAvo., P.O. BoXW. Fort Coft, CO 50522
Vat= T ni um FAX: 970 224 6`134
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INS,T
TNs disclosure form Is in be signed by the mechanical contractor or FsprosentatlVe.of the general rDntrlCW.
Please type or print, except for the signature,
It there are muldple systems sarvlpiI any rund"onr mg)w mulapis entries to describe them.
One copy of this form must be provided to the Building and Zoning Department prior to the C.O.
One copy of this form must, be made available to the ofiginat home Wyef.
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W:AY ...... WA
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§Pace coolln"
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....... . WAW tpAkfng at the abbve locations
vWe certify that tha abov&1ded cquipmept pficludiev ducts and piping) was I;iWiff;i In i
In ronforrnancs with the requiremerd3of the Fort Collins Residential Energy Code and Mechanical code; and iut . ther, that
such sq%ipment was installed In accordance with manufacturers' ln:*uc0ons.