HomeMy WebLinkAbout6714 ANTIGUA DR - DISCLOSURES - 6/14/1999 (8)12/10/98 10: 27 V970 484 4448 ALLEN PUYNBING Z002
Job address:
General contractor.
Mechanical contractor.
Collins residential energy code 7196
Mechanical sxstems disclosure form
ro 714- Aviti'!40ci Pr. -4j=- 3 0
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Spac
e heating system: . ..... ... �w ... . .....
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Space cooling -system.
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Water heating'systeM!*.. .... ..
Certification
VVVFj certfy :hat the above -Listed equipment was installed in the building atthe 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 inst2lied in conformance with
the current requirements of the City of Fort Coffins Resklerdial Energy Code and Meehariical Code.
Certifiedby:
Phone: LIS it - q! L(
Business Date: (0-1 qrL
Address: 161 34witure:
Instructions i-
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.
ifthere are multiple systems serving any function, make multiple entries to describe them.
one copy of this form " be provided to the Bulding and Zoning Depadment at Inal inspection
one copy a, this form shag be provided to the homebuyer. OK