HomeMy WebLinkAbout4315 MESAVIEW LN - MISCELLANEOUS - 1/27/2000 (2)Fort Collins res
energy code
Job address:
General contractor.
Mechanical contractor:_
Space heating system
Location
BASEMENT
Fuel
GAS
Tvoe
F A
MMf2CtUfer
Model #
Z' lo0 4
Input capacity
k8tuh gr kW
f
AFUE or
HSPF
Space cooling system
Location
Fuel
a
Manufacturer
od
Input Capacity
or kW
SEER
GAS
F/A
Water heating system
L
I psi
I e
I nufaeturer
I Model
�_ Input capacity
k8tu o W
I_ Energy
F
- Storsge-
volume
Certification
[We certify that the above -listed equipment was Installed in the budding at the above locations in conformance with the
current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code, and that it was installed in
accordance with manufacturer's instructions, UWe certify that any ductwork has been installed in conformance with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by: ROSFRT R MILLER phone: (970) 223-8873
Business firm er (pIARADO AIR, nr.Date-
Address:1823 E HAR40NX RD Signature:
InstrUctions Z14.
i
This disclosure form is to be signed by the mechanical contractor or representative of the general opjr4ctor
serving
type or print, except for the signature. &�
If there are multiple systems seng any function. make multiple entries to describe them.
One copy of this form shall be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer.
mrnew.ret/bSU-f/SNi
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