HomeMy WebLinkAbout956 NIGHTINGALE DR - DISCLOSURES - 8/11/2009ELM4F:.CMHJA' ons Residential Energy► code the -building & zoning dept. of
NICAL -DISCLOSURE FORM Cmmmnky Planning and Envk onmenbd Services
281 N. Cdkw Aw., P.O. Box 580, Fort .0000- 00 8=
Vaios: 9r70 221 OMPAX 970 2?�4 8134
Job A
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t3enetsl contractor. �. Y ,
Mechanical contractor.
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INSTRUCTIONS
This disclosure forth is to be aimed by the mechanical corrtractor or relxesenthtive of the general contractor,
please type or print, except for the signature.
If there are multiple syrrs . make multiple enttfes to describe them.
serving any function,
One Copy of this fort must be provided to the .Building and Zoning Department prior to the C.O.
One copy of tPis form must be made available to the original home buyer. .
A. Spence hosting system
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8/X52.1YLZYI
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L„enn X
7 M clot-OT
90,000
B. Space cooling system
C. Water heating system
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Certification
IANe certify that the above -listed equipment (Including ducts and piping) wf Inetalled In the building at the above locations
In conformance with the requirements of the Fort Collins Residential Energy Code and Meolmnicel Code; and further, that
such equipment was installed In accordance with manufadureW IratrucUors.
Person Certifying Job:
Date:
Business Firm: V. r
Address: 00 CO v
Vt �� Phone: _ 2- 33.E