HomeMy WebLinkAbout4827 Prairie Vista Dr - Disclosures/Mechanical - 02/15/2011Feb 15 11 07:33p BAUER MECHANICAL SERVICES 19706350037 � rb�p
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Fort Collins Residential Energy Code the building &zoning dept. Of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
281 N. College Ave., P.O. Box 5B0, Fort Collis, co BD572
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�• Voice: 970 2216760 FAX: 970 224 6134
Job Address:
General contractor. /��L Gi-� Ga4JSm4"55;
Mechanical contractor.✓.Q
INSTRUCTIONS
the mechanics! Contractor or representative of the general contractor.
This disclosure form is to be signed by
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.
n Space heating system
B. Space cooling system
C.. Water heating system
Input capacity I Energy. I Storage
Oerrtmcation was installed in the building at the above locations
VWe 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
such equipment was installed in accordance wdh marl'utacaw eib ZLL U
S.
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Person Certifyi Job:A
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� Date -
Signature:
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Business Firm' %�, u r �P �i► 0cs�
Address: %CJ L� Z zoo. // <
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