HomeMy WebLinkAbout4826 Prairie Vista Dr - Disclosures/Mechanical - 04/11/2012lm
Fort Collins Residential Energy Code ® Neighborhood & Building Services
MECHANICAL DISCLOSURE FORM mi K Ave., P.o. Box 580. Fort COMM CD soy=
mmdMa2i s-711018E Phone: 970 2216M FAX 00 224 6194
Job Address: Z
General conbvx or: Pau �S C
Mechanical contractor. IM o NTY S Y & kme rj G
INSTRUCTIONS
This disclosure torn is to be signed by the mechalliel contmetOr or mPesad5dve of fhe general codreQor.
Plee" 4W or print except for the slgrreture metes multlpN entries to describe tl►em.
if there are munW systems serving any fimdion. to the C.O.
One copy of this form must be pmvkted to the Bull ft and Zoning DePerbrient Prior
One copy of this form must be made avekd3le to the origirrel hone buyer•
A. Space heating systiem
13. Space cooling system
C. Water heating
Certification
Me certHy #het the above -listed equipment (mdudulg duets end long) was ir> bdw in the buffer g at the above Iocewns
In confbnn mce with the requirements of the Fort Collins Residential Energy Code and Medwiftel Code; and t w#w, that
such equipment was kidded in accordance with mamdachaeW kmVtK iorls-
Person Certifying Job: 0
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RuainaaaFirer V\Ac m-rg5 1HeAt;N6 /iIiQ__---
Address FAO 13 0 13 o Y
l vvimAAtfo S 0S39 Phone: q 70- Sol i- 05 77