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Fort Collins Residential Energy Code
MECHANICAL DISCLOSURE rTr-kMKR
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Job Address:
General contractor:
VAI C:2b
the building A zoning dept. of
C01111nunity Planning and Environmental Service
281 N. College Ave., P.O. BOX 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX: 970 224 6134
Space
...00o.ing system ... .. ....
.... ......
Water heating *
Energy I Storage
-yerptication
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IlWe certify that the above -ii t ..... ...... . .. . ...... :--*::-:-::.:::..,:::.:.::,::.::.:.:,*: *.,..,:.,...:.,�.....,.,....��.,.�...,.,...,.,�....�
.... ...... ................. .. s e equipment (including ducts and
........ . ... . ...... .. .
Piping) was installed In 'ill*e" 661"I'd,ing at the above locations
in conformance with the requirements of tire Fort Collins ResidentalEnergy Code and Mechanical Code; and further, that
such equipment was installed In accordance with manufacturers' Instructions.
Person
E3usiness Firm:
Address:
Date: '1 —1 L. c:)
Phone: