HomeMy WebLinkAbout6714 ANTIGUA DR - DISCLOSURES - 6/14/1999 (14)12/10/98 10: 27 V970 484 4448 ALLEN PLUMBING Z002
Job address'
General contractor.
Mechanical contractor.
Fort —Collins residential energy code 7196
Mechanical systems disclosure form
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Space M'.-" .........
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Space cooling system
Water heating- systerm... ........ . . .....
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Certification
WVec,2rty 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. WVe certify that any ductwork has been installed in conformance with
the current requirements of the city of Fort Coons Residential Energy Code and Mechanical Code.
Certified by:' / Phone: (1`01
Business firm: L I—,-- P t-�T)Date:
Address: 16 1 � - U,-k K Ipcwe Signablm
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 " be provided to the Building and Zoning Department allinal inspection.
One copy a' this form shell be provided to the horneWyer.