HomeMy WebLinkAbout402 Peyton Dr - Disclosures - 04/29/2003 (3)[Fcrt Collins Residential Energy Code
ECHANICAL DISCLOSURE FORM
mchdisc2xis—7/10198
Job Address:
General contractor:
the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 221 6760 FAX: 970 224 6134
Mechanical contractor: Hwin jg ,,x►
Location
Fuel
Tvpe
I Manufacturer
I Model #
Input capacity
I kBtuh or kW
AFUE or
I HSPF
B ;Space cooling system
Location
Fuel
Tvpe
LInput
Manufacturer
Model #
capacity
kBtuh or kW
I SEER
C Wafer heatin s stem
....... 9:. y .
Location
Fuel
Tyne
I Manufacturer
I Model #
Linput capacity
kBtuh or kw]
Energy Storage
Factor I volume
TGAc
i, ,�<Mmtnv
I
ECU—Uolo
so
ya
ICalllbn > .:.......:.
.. .:, . :::.:.: . .....:: .
............. .
ng
:.
I/We certify that the above -listed equipment (includiducts 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 Certifying'Job:
Signature:
Business Firm:
Add ress:
•wz ea.•
Date:
-Zci - O
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