HomeMy WebLinkAbout6714 ANTIGUA DR - DISCLOSURES - 6/14/1999 (10)121,10/98 10: 27 12970 484 4448 ALLEN PLUMBING 0002
Fort Collins residential energy code 7196
Mechanical systems disclosure form
Job address:
General contractor.
Mechanical contractor.
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Space heating.syst
Space cooling system
Water heating* systern
Certification . .... . ... -
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VVVec,k�, that the above -listed equipment was instated 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. I/We certify that any ductwork has been installed in conformance with
the current requirements of the City of Fort Collins Re5kkrdW Energy Code and Mechanical Code -
Certified by: --I-co Y) Phone, qS31-t -
Business firm: Date: (0—
Addiress: obi , - U, K 1,mc.,5? Skpahnv:
Instructions ......
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This disclosure form is to be signed by the mechanical contractor or representative of the general contractor.
Please ripe 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 " be provided to the Btfting and Zoning 0epartrivent atonal inspection
One copy a' this form shag be provided to the homebuyer.