HomeMy WebLinkAbout6714 ANTIGUA DR - DISCLOSURES - 6/14/1999 (6)12/10/98 10:27
V970 484 4448
ALLEN PLtTKIING
Z002
Job address:
General contractor:
Mechanical contractor.
Fort Collins residential energy code 7196
Mechanical systems disclosure form,,
lo-7 l+ Av%+6ijq Dr. - 1
A COtJ gE RvcT10 co.
A L.t--F_tJ P L-. U M a 1 N
.
Space heating system: 1.
Location
Fuel
Type
Manufacturer
Model 0
Input capacity
kBtuh or kW
AFUE or
HSPF
Space cooling system
Water heating'system - _
Certification
UWe ctrtfy that the above -fisted equipment was installed in the bulding 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 %%ith manufacturer's instructions. VWe certify that any ductwork has been installed in conformance with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by: 1 (--Y) Phone: LIS3 L; - "j$ L(
Business firm: A 1. P ? ,% 1-1 Date: -14 --c! a
Address: t6l -5 _ L.t r. 1a•�e
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 multple systems serving any function, make multiple entries to describe them.
One copy of this form steal be provided to the Bugg and Zoning Department at final inspection_
One copy o` this form shag be provided to the homebuyer. .04�A-�+`^�