HomeMy WebLinkAbout5220 Boardwalk Dr - Disclosures/Mechanical - 04/12/20044814
APR, 12' 2004 3:44PM ALLEN PLUMBING&HTG NO. 706 P. 3
Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE .FORM Community Planning and Environmental Services
mchdisdids -7MOMS 281 N. College Ave„ P.O, Box 680, Fort Conine, CO 8om
Voice, 870 2215760 FAX 970 224 6134
Job Address: 5.220 /T^,a_ral! Wa. l k
r
General contractor:
Mechanical contractor:
44
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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 describe them.
One copy of this form must be provided to the Building and Zoning Department priorto the C,O,
One copy of this form must be made available to the original home buyer.
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Fuel
TvDe
Manufacturer
Model #
Input capacity
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AFUE or
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Manufacturer
Model #
Input capacity
k6tuh or kW
SEER
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Input capacity
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Energy
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e certify that the above4lsted equipment (including ducts and piping) was Installed in the building at the above Ioca,Iron
In conformance Wth the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that
such equipment was Installed In accordance with manufacturert' instructions.
Person Certifying 'Job:
Phone: 974y�4- 7_'dzia .�