HomeMy WebLinkAbout827 Apex Dr - Disclosures - 08/06/2003 (4)Aug 06_03 09:39a MIKE WETZHRRGER 370-416-6536
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Fart Collins Residential Enemy code the building A zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
mchdrtc2aft-7her9e 281 N. C ofte Aire., P.O. BOX $80, Fort Cohn, Co 80522
e Volce: 970 221 67M FAX: 970 224 6134
Job Address:
QOnQral contractor.
Mechanical contractor:
This disclosC a form S to be sldnsd b the mechanicalc '
Please p t, for the signature. y contractor or representative of the general contractor.
type or rin except gnetare.
If there are multiple systems serving any function, make multiple entries to descrfbe them.
One copy of this form must be provided to the Building and Zoning Departmet One Copy of this form must be made available to the original home buyer. nprior h the G.O.
'A.. Space heating system . "' •• • • • ... - ,.,,
.13: Space cooling system
..C. Water heating sysfern
Input capacity I Energy smr�ge
09rtifiCSUot1 1.s :,
1lWe certify that the above -listed equipment ::: `•:. _ :"::;, .:'. ' :..:.:.-::..:::.':.
ineludlping)Was
in conformance with the requirements of the Fort Colt �s Residential nergy Codeand
he bruldr
such equipment was meta ad in accordance with manufacturers' instructions. n9 at the above locations
echanlca! Code; and further, that
Person Certifying job.- i I.P�� -L—I _ _
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Phone: tp — 2_p