HomeMy WebLinkAbout6714 ANTIGUA DR - DISCLOSURES - 6/14/1999 (17)12/10/98 10:27
V970 484 4448 ALLEN PLUMBING
Q002
Job address:
General contractor -
Mechanical contractor.
Fort Collins residential energy code 7196
Mechanical systems disclosure form
-71 + Anti 6ljC4
�TAME.S CON1 2�112QCT tQ ?J C O.
A L-L-�nl P L- L) M 3 1 czi 44 EAT i W ch
........... . ......
..... .. .... A,
. .......... .. .... . . .....
. ..... ... .
-.1- .......... .. ........... ........ ... . .. .. .
Spaceheating-.syst ... ........ ... ....... .... ....
Space cooling'sysiem-
Water heating -system —:.
Certification
LNVIdLiLfly that the above -listed equipment was installed in the building at the above locaidom 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 �%fth manufacturer's instructions. I/We certify that any ductwork has been installed in conformance with
the current requireMents of the city of Fort Coans Residential Energy Code and Mechariicid Code.
Certified by: Phone: Lt - qa? q
Business firm: Aue�.-, Date: 14 Ci
AdIdnms:t6i Signatum
Instructions - - -----
.. .......... . ..... ..
This disclosure form is to be signed by the mechanical contractor or representative of the general contractor.
Please type of print, except for the signature_
ifthere are multiple systems serving any function, make multiple entries to describe them.
One copy of this form " be provided to the Bukling and ZorMQ DepwUnent at final inspection,
one copy a' this form shag be provided to the homebuyer.