HomeMy WebLinkAbout615 ROMA VALLEY DR - DISCLOSURES - 4/4/2002 (2)Fort Collins residential energy code 7196.
Mechanical systems disclosure form
Job address*,
General contractor. A
Mechanical contractor. ljen I-lv,-H
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Location
Fuel
T e
Manufacturer.
Model
InPutcapacity
kStuhorkW
AFUEor
HSPF
.............
Space cooling ....... ... .......... ..' -..'.. .. .. .r.. ...-.........-......,....r .......-. . . ....:...%. . . I . ... .............................:....'.... ....�.......,
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Location
Fuel
Type
Manufacturer
I Model 0
Input capacity
k6tuh or kW
SEER
ti
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er heati*'ng��tem.:.'.-.'.-%%.�...�.:,-...�-.-
Location
Fuel
TvDe
Manufacturer
Input capacity
k6tuh or kW
Energy
Factor
Storacic
volume
"em en
E!LMiLo--de�l;q�
certify certify that the above -listed equipment was installed in the huilding at the above locations In conformance with the
c,
. , ent requirements of the City of Fort Collins Residential Energy Code and Mechanical Code, and that it was installed in
z ' ;ordance with manufacturers instructions, VVVe CerIffy that any ductwork has been installed in conformance with
I current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by: t�A UC, CJj>Ajd Phone: Li q
Business firm:. Date:
Address: jbt
Signature: . .. .. .........
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Ti S tru C ti C.* ti! ....... .. .... .........
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his disdos r..e signed by The mechanical contractor or representative of the . �Ix bi
I e general contractoi.
�41eas-ijy.-'pe pr pTirYt.,. 'ept for the signature.
ie arerhutitiples" ystems serving any funcb'on, make multiple entries to d ' escribe them,
tic ny Of this form shall be provided to the Buildling and Zoning Department at final inspection
le -)Y Of this form shall be provided to tho homebuyer.