HomeMy WebLinkAbout645 STONEHAM CT - DISCLOSURES - 1/24/2000 (2)C-oft (;olliu'. rr.<:iclentir'll r>'nm'cty crarle 719(;
meclI'll rc al systems di>clo• ute torn►
Ir,h address:
{:moral crantractnr- ppcC-S 1
MoOi, mica) contractor: rl�5ca 1 ✓tq,r 1
lracrl heat.iliq system
(mint r:alrar:Ify
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nr111: nr
t.nl.,tloll
Ilrcl
Iype. fvl.unrf.,r.Unr�r f;l�rdollr kRUrhnrl<V`1-..I
Hs{'r
-;I►ac;I! cooliliq system
I Inpnt c:,paraty
I oc:nun, I uel 1 yle fAnnufnr.luir r W1r�drl A kl3luh or kVJ ;E[R
1
Wafer heafilig sy,;tc!n►
!I M:uurfar.lurr•r PAralr•I I! kl3lrrh or kW I ,ctflV StoragF
Inpnt capaclfy I nrr
l_oc.�tlun I in�l I re or volume
I
(:eftificatlOft
INVe codify that the above -listed "rptipinent w;v; inatnllerl in the hnilding at M.:d,rnre Incationa in r;on()rm.anne vAh Ilia
r"nrrent requirerneMs of the M y of M Cnllin•: I1POWnfi.,l rmrrrty Code and t lechmd(.;,l r;odo. and that it riae in :Ldlf rl in
acrnrdnnre with manufacturer's irr;tructions. INVe mlify that arty rlur:hr my has been in-l.,llod in conforrnarli with
the currant requirements of the City of Fml MA7 PpOrImbal f i,of(ly Cod,- and h:mir at torte.
Certified by; . �- Ii.( �cf t< ' 4 { .`► INZABusiness firm [�
t)at r': �-
Itistrticticitis
This disdosme form is to be signed by Vw nv-r haoi, nl rnotrnr.tor or ropw..enl;,live of Ill" r)^nerd colitrorto(
('lease type or print, except for the siwiahiro
If lhete are multiple systems serving any hmr tine, n„I r• nnilliple entrio• In de• r,ity� than)
One, copy of this form shall ho provided In Ill" I tnilhlinq amt %oninfl t)eparlment all finial inshcr tine_
One copy of this form shall be provided to tho honwhrty"r.