HomeMy WebLinkAbout2132 Cocklebur Ln - Disclosures/Mechanical - 09/27/2011E
gns Residenital EnwW Colts, the building & zoning dept. of
ANICAL DISCLOSURE FORM Comnuirdty Planift and EnvWw rr nbd services
ma0era2� 7110W ; let N. Catlsas Ave., P.G. Box OK Fart CMM CO 80= .
Vokw 0M ZZ16M FAX: = 2?A 8134
Job Address:
General contractor.
Mechanical contractor:
lam
OJ2 10
INSTRUCTIONS
This disclosure form Is to be signed by the mechanical contractor or representative of the general contractor.
Piease type or print, except for the elgrufte.
If there are multipte systems serving any funcOM make mulliple entries to describe them.
One copy of this form mdd be provided to the SuiklIM 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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F. a a M
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B. Space cooling system .
C. Water heating system
kw "vaft I ewot►- I storw
Certification
IWe certify that the above -hated 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.
Person Certifying Job: Robert Col a_fe,
Date: "l
Phone: r'/'//)