HomeMy WebLinkAbout6714 ANTIGUA DR - DISCLOSURES - 6/14/1999 (4)12/10/98 10: 27 V970 484 4448 ALLEN PLUMBING 0002
FortCollinsresidential energy code 7196
Mechanical systems disclosure form
Job address:
General contractor -
Mechanical contractor.
. .... .... ........... .......... .
........... ...
Space heating.system..... . ........... .... ......... .... ..
.. .....
Space cooling -system
Water heating'system.....,-....-..-I.--.-.--
Certification
VVVecerty that the above -listed equipment was installed 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 %%iM manufacturer's instructions. VWe certify that any ductwork has been installed in conformance with
the current requirements of the City of Fort Collins Resider" Energy Code and Mechanical Code.
Certified by: :17)ktE, - -j 0 � (�j) n y) Phone: qgLt - ' 1-4
Business firm: A P '% tj Date, (*-14, 411
Address: t&l t_t,j(jj-L,,e SignWMM Sr—Dc-Aekd
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 antics to describe them.
One copy of this form " be provided to the Building and Zoning Department at Ina kisinctiom
One copy afthis form shall be provided to the homebuyer.