HomeMy WebLinkAbout1809 KEEL CV - DISCLOSURES - 12/19/2006Feb 08 2001 7:52RM HP LRSERJET FFX P.1
Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE .FORM Community Planning and Environmental Services
01dwba.* —mace 261 N. College Ave., P.O. Box 580. Fort Coins, CO W522
Void: 970 2216750 FAX 070 224 6134
Jab Address: Kc.44
General contractor.
Mechanical contractor. C e rrti 0r, 5
This disclosure form is to be signed try the I mechanical contractor or representative of the general contractor.
Please type or print, except for the wigi le.
If there are multiple systems serving any foriction, make multiple entries to describe them.
One copy of this form must be provided to the Building and Zoning Department prior to the C.O.
One copy of this form must be made =tl bie to the original home buyer.
:.:.:::.# : ,.::: ►.:::....:_::: ; Y_.................:............................... ................................. ................. ............................. ............................
I I Input capacity I AFUE or
Input capacity
Input capacity I Energy I Storage
I/We certify that the above -listed equipmen (including ducts and piping) was installed in the !wilding at the above location
in conformance with the requirements of th Fort Collins Residential Energy Code and Mechanical Code; and further, that
such equipment was installed in accords with manufacturers' instructions. .
Person
9
Date:
q_d 6
Phone: ,S6i-0?CfxP