HomeMy WebLinkAbout2302 Nancy Gray Ave - Disclosures/Mechanical - 04/06/2012Fort Residential E,nerW Coda . the building A zoning dept. of
MECHANICAL DISCLOSURE'S FORM CcnwM r Plannhv and Environmental Services
Q
na�.a2na -7noee ?81 N. Ca6ps Av+ . P.O. Ba r !I$tt Fart Caine. CO e0522 .
VOICE. 9M 221 SM FAX SM 224 0134 '
Job Address:
General contractor:
Mechanical contractor:
INSTRUCTIONS
This disclosure torn Is to be signed by the meehanhhl contractor or representable of the general contractor.
Please type or print. except for the signature.
if there are multiple systems serving any fundlon, mam multiple entries to describe them.
One copy of this form must be provided to the Bulding and Lcnlng Department prior to the C.O.
One copy of this form must be made available to the original home buyer.
A. Space heating system
MR
M.,#T*7#
MW-F
B. Space cooling system
owl. I
rv�• �
, .. •
NEW
C. Water heating system
Certification
I/We certify that the above -listed equlfrment (including duds and piping) was installed In the building at the above locations
In conformance with the requirements of the Fort Collins Residential CneM Code and Mechanical Code; and further, that
such equipment was Installed In accordance with manufacturers' Instructlone.
Person Certifying Job: ..t// Lc %L4r4al e, _
A
Address:
Phone: