HomeMy WebLinkAbout1421 Sheep Creek Ct - Disclosures - 12/15/2003 (3)Fort Collins -residential energy code 7/96
Mechanical systems disclosure form
Job address
General contracto
Mechanical contracto
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Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
AN or
HSPF
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Location
Fuel
Two
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
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Location
Fuel
Tvpe
Manufacturer
Model #
Input capacity
kBtuh or kW
Energy
Factor
Storage
volume
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I/We certify that the above -listed equipment was Installed In the building at the above locations in conformance with the
current requirements of the City of Fort Collins. Residential Energy Code and Mechanical Code, and that it was installed
accordance With ma✓riutacturefs instructtons.'�.V—#,O OpfOfythat,any ductwork has been Installed in conformance with
tho'current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by;
Business`firm:
Address:
Phone: 270
Date: — —p
Signature
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This disclosure formic to be' nod by'the mechanical contractor or representative of the general contractor.
Please type or print *except for the signature.
If there are multiple systems serving any function. make multiple entries to dpscdbe them.
One copy of this form shag be provided to the Building and Zoning Department at final Inspection.
One copy of this form shag be -provided to^the, bvmebuyer.
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