HomeMy WebLinkAbout621 Keenesburg Ct - Disclosures - 01/09/2004 (3)1Port Collins Residential Energy Code
lAttHANICAL''bISCLOSURE FORM
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41
Job Address:' z), Keejt-gA
Geharai contractor: t
Met;hahlcql contractor:
the building (& zoning dept.'of
Cotn"'unity Planning and Environmental Services
201 N. College Ave., P.O. Box 580. Fort Collins, CO 80522 ----
Voice: 970 2216760 FAX 970 224 6134
en4L.
Location Fuel Tvve _Manufacturer Model #
Input capacity AFUE at
k8lub-or kWHSPF
........ ..
... ..... . .
.. ......... . ...........•
.....
... ... .. ..
... ........ ............
.........................................
I Input capacity
Location I. —Fuel TV e Manufacturer
Model kBtull uh oor r kW SEER
........... ...... ... ...... .. . ... ........ .... . ......... ................. ....... ....... ....... : ..............
....... ... . ..........
.......... ; .... ......
AY
.. ........ . ............'ati........................
.......... ..........
......................
I i t Input capacity Energy Storage
Location Fuel Tyne Manufacturer- Model kBtuh or kW I put-Int I U-11im-
��_
in boli
subo
Nit
............. ...... ..........
thb above -listed equipment _(including ducts and pi ..
ping) was installed in the b . u . I . Iding at the above locations
with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that
Was Installed In accordance with manufactutord, lnelr"cnnre
i C6t*YIh9'Job:
. .14.1
Ali"
Date:
Phone: