HomeMy WebLinkAbout6908 ANTIGUA PL - DISCLOSURES - 2/22/2001Fort Collins residential energy code 7/96
Mechanical systems disclosure form
Job address:
General contractor:
Mechanical contractor:
Spaceheating system
Space cooling system
Water,
_
ater heating; system
Location Fuel T e Input capacity Energy Storage
Manufacturer Model # kBtuh or kW Factor volume
Certification
INVe certify that the above -listed equipment was installed in the building 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. UVVe 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: ROBERT R MILLER phone: (970) 223-8873
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Business firm KORTf 1 COIARADO AIR, INC-Date:
Address:1823 E HARMONY RD Signature:
Instructions
This disclosure form is to be signed by the mechanical contractor or representative of the general contractor.
Please type or print, except for the signature.
If there-are_multiple systems serving 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.
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