HomeMy WebLinkAbout6462 Tilden St - Disclosures - 08/21/2003 (2)EFoftollins Residential Energy Code
ANICAL DISCLOSURE FORM
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Job Address: �y14
General contractor.
Mechanical contractor:
the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., • P.O. Banc 580, Fort Colrms, CO W522
V0ice: 970 2216760 FAX 970 224 6134
INSTRUCTIONS
This disclosure form is to be signed by the mechanical contractor or representative of the e
Please ..type _or._print, -except .for _the signature... If there -are multiple systems -serving any -function, make -multiple entries to describe general contractor.
One co p
py of this form must be Provided to the Building and Zoning pea them.
One copy of this form must be made available to the original home buyer►tmenf prior to the C.O.
A. Space heating system
0. space cooling system
1L water heating system
"p14' I !nerov ! Storage
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Certification -
IlWe certify that the above -listed equipment (including ducts and Piping)
in conformance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that
was
installed in the building at the above locations
such equipment was installed in accordance with manufacturers, instructions.
Person Certifying
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