HomeMy WebLinkAbout7109 Ranger Dr - Disclosures - 03/25/2003 (2)Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE•,FORM Community Planning and Environmental Services
mcndi:a2xis -mass 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216750 FAX: 970 224 8134
Job Addreess-
General contractor:
Mechanical contractor:
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This disclosure form is to be signed 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 doscribe theta.
pYr3ft lis rut ru must be Bd'tTs-ths lRutldingiirR-OTiliig"D"spafffnaht"pTibrto"M6
One copy of this form must be made available to the original home buyer.
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. Input capacity AFUE or
lacat�on
Fuel
T e
Manufacturer
Model #
kBtuh or W
HSPF
i::.
ac e cv
011
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ocation
Fuel
T e
Manufaotureh
Model #
Input capacity
ks h or
SEE
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{e`r l :iea l
Location
Fuel
T e
Manufacturer
Model #
Input capacity
k8tuh or kW
Energy
Facto
-storage
volume
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I/Vlla certify that the above -listed equipment (including ducts and piping) was installed In the building at the above locations
in conformance with the requirements of the Fort Collins Residential. Energy Code and Mechanical Code; and further, that
such equipment was installed in accordance with manufacturers' instructions.
Person Ce
Business
Address:
.03
Phone: -7 10 —