HomeMy WebLinkAbout6802 ANTIGUA DR - DISCLOSURES - 12/10/1998 (2)12/10/98 10:27 %2970 484 4448 ALLEN PLUMBING Z 002
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Job address:
General contractor:
Mechanical contractor.
Fort Collins residential energy code 7196
Mechanical systems disclosure form
00Z- Alt+rciva Dr. ---W' a 'T___
FAMES CoWg[R.QCTtotJ CO
.4 Lt^-F_tt P I_ 0 M ►31 N U +4 F_,4T l w (i
Space heating system
Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSPF
Space cooling system
Location
Fuel
Tvve
Manufacturer
Model #
Input capacity
kBtuh or kW
Water heating•system
SEER
Location
Fuel
Type
Manufacturer
Model 0
, zr p
Input capactty
kBtuh or kW
D OrO
Energy
Factor
Storage
volume
- e- Z
(3 r-
Certification .
UW e cerVy that the above -listed equipment was installed in the budding 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 %%Itn manufacturer's instructions. VWe certify that any ductwork has been installed in conformance wrth
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by: CQ>1 Y) Phone: lw $L1- qe t-Q
Business firm: A U e w 7P-% t-1 Date:
Address: 161 < _ I t rm
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 sW be provided to the Bing and Zoning Department at final inspection_
One copy o` this form shag be provided to the homebvyer. ocwb.s ,W=-GOV"