HomeMy WebLinkAbout614 Peyton Dr - Disclosures/Mechanical - 08/18/2005Fort Collins Residential Energy Code
MECI4ANICAL DISCLOSURE FORM
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.lob Address;
General contractor:
Mechanical contractor: A i "—V
the building & zoning dept. of
Community Planning and Environmental Services
281 N. Copage Ave., P.O, Bcx 5W, Fart CoMme, CO SM22
Voice; M 2218760 FAX M 224 8184
INSTRUCTIONS
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 prior to the C.O.
One copy of this form must be made available to the original home buyer,
A. Space heating system
S: Space'cooiing system..
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I/We certify'that the above4W" ad' equipment (Including ducts and piping) was installed In the bullding at the above locations
In conformance with the requirements of the Fort Cgy Code and Mechanical Code; and further, that
such equipment was Installed In accordance with manufacturers' instructions.
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Person Certifying Job:
signature: — Date., _] 11 IG156-
Sualrim Firm: k Se yies
Address: I MAI Qhn viAn vt RI0A
b r ON' 'imzn Phone: :tS - 41 o(o - 19