HomeMy WebLinkAbout1220 Truxtun Dr - Disclosures/Mechanical - 08/26/2005Aug 26 05 12:19p Shauna Colegate
970-897-3151 p.2
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CoWns Residential Energy CodeCHANICAL DISCLOSURE FORM
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Job Address:
General contractor.
Mechanical contractor.
the building dt zoning dept. of
Community Planning and Environmental Services
261 N. c4is90 Ave., P.O. Sm 580, Fort Calms, CO 80622 .
Valor. 970 22167W FAX: 970 224 6134
INSTRUCTIONS
This disclosure form is to be signed by the mechanical contractor or representative of .the gerteral 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.Suilding 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
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e. Space cooling system
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Fuel
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Manufacturer
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Input capecRy
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SEER
C. Water heating system
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Certification
I/We certify that the above -listed equipment (including ducts 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.