HomeMy WebLinkAbout5050 Brookfield Dr - Disclosures - 11/24/2003 (4)FEB-21-2001 TUE 01:45 PH FC BUILDING AND ZONING FAX NO. V/2246i54
Fort
Fort Collins RGSIdOnbal C-Mrgy Code
MECH
ANICAL DISCLOSURE FORM
. * -7ho"
Job Address: 5-(:2SV /,fAO0,
General contractor: �Arf A
Mechanical contractor.
the building At zoning dept. of
Community Planning and EnVirohmentat Services:11
28114. Wage Ave. P.O, a" 90, Fart C4&kW W ROM
voles; 970221878D FAX: 9702246iU
e,;,,(,( b P a,4 I'T -#,4
ow6u
fit I �
contractor.
Thle disclosure form is to be algroad by the mechanical contractororrePreOntallve Of the general c or.
please type or print, except for the signature.If there are mulopig gptvm agiving any function, make mtA"W entries to describe then
One copy of this form mug to pMvWed to the Building and Zoning Department prior to the C.O.
One copy of this form must be made available to the original home bqat-
..... ............. V
a. Spaiqe;cool . ...
=�W . ..... .........
0
t/we oeftfy that the above4sled equipment enoludng dUCU and plorsq) was Installed in the WWII at the above locations
In confwmance with the requiremerds of the Fort Collins Residential Energy Code and Macharkol Code; and lutther, that
such equipment wSS Installed in g0cordenoe with manufacturers' Instmcg=-