HomeMy WebLinkAbout5050 Brookfield Dr - Disclosures - 11/24/2003 (3)FEB-27-2001 TUE 01146 PM FO BUILDING AND ZONING FAX NO. 9702246134
Fort Collins Resldontfet i-rtergy Code
{ MECHANICAL DISCLOS ME POEM
„,�leuci,a� _erase
the building & zoning dept. of
Community Planning and Environmental Sery1cm
201 K CoWe Ave., P.O. am 90, Fort Genre, CO at1 W
vote: 970 22i 0760 FNt 970 224 tf19:
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This dlsolosare term is to be %Igmd by the �chanlcal eorritador. or representative of the General contractor.
Please type or pdnl, except forth@ signature,
If there are muaipte WOWS sanlfnO any Millon, make mulople entdes to describe thern-
One copy of this forth must to provided to the Bulking and Zoning Department prior to the C.O.
One copy of t6ls form mast be muds available to the original home buyer,
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.SA.A_r.:_.� duets and Wtn9i w@s Installed in the bui{dtng et the above IocaUons
,IWO certify "t the above -Noted equlpm l t (1 Code and MerharAoal Code; and ludhar, that
In conformance with the requirements of the Fort Collins Ftsddenthi Energy
such equipment was Installed in accordance with manufacturers' Instmcdons,
Person CeAify{ng Jab: O —R6es
signature,
5 siness Firm: O3�a AlechAhICA
Address: /la J✓• YAe /Z'
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