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HomeMy WebLinkAbout1327 HEARTHFIRE CT - DISCLOSURES - 12/1/2002 (6)Fort Collins Residential Energy Code MECHANICAL DISCLOSURE .FORM mchdisdAs—7110198 the building & zoning dept. of Community Planning and Environmental Services 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522 Voice: 970 2216760 FAX 970 224 6134 Job Address: �3•�� Cl��}Z+2� L� . General contractor: P lti . S!hZz+1 �v V�Sr�uCTYen} Mechanical contractor: f -A f'n eLjK6-T_ (, (IJ01_-( 4_A1 (owrta0o _� :A :::... p...................ce ..........eating system :: ::.......................::::.::::;. ......::::.:::::::::::: ................. Location Fuel Type Manufacturer Model # Input capacity kBtuh or kW AFUE or HSPF A Fucjdko, I l Ajn IS-IS-5 go f�'�JPiv[+-look ISY'-�� B Space coolmgsysteri� Location Fuel TvDe Manufacturer Model # Input capacity kBtuh or kW SEER mf Q APV0- -1G1A- ZF "�a� i a :.:....:::....::......::::...::::. :::.::...:....:.::..:..::,:::.:...:..::::::::;.:.::::.:.::.:.:.::::::...................... C .. Water. heath S ste.m::::;:::::::::::::::...::::.:.:.::.:::::::.::.::.::::::..:::::::::::: :::::.::........................................................:::::::::::::........... ......................g . Y ...................... Location Fuel (v Tvoe ManufacturerL �eZt i Model # M LSo3(o+�, Input capacity kBtuh or kW 0 Energy Factor Storage volume 5 v ertlficalon :::::.:.: ::::.:..:::::...:::.::::::.:.:.:::::::.::::::::.::::.::::::::.:: :::.:.:::::::............................................................:.. :::::.::::.:.::::::.:...:.::::.....:.::.:::::::::::......................:-.::::.....::. I/We certify that the above -listed equipment (including ducts and piping) was installed in the building at the above locations in conformance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that such equipment was installed in accordance with manufacturers, instructions. Person Certifying Job: Signature: .�� Date: Z Business Firm• —�"I`I , „�. ,,Z �;, , Tc✓c �z Address: .�t7' 1/ - �.,�Z�(Z' I Phone: