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HomeMy WebLinkAbout4702 DUSTY SAGE DR - DISCLOSURES - 3/10/2003 (12)Fort Collins Residential Energy Code the building & zoning dept. of MECHANICAL DISCLOSURE FORM Community Planning and Environmental Service mchdiscl)ds —7/1 Q(98 281 M Coll . - A0 r% 0 Job Address: General contractor: Mechanical contractor .................. ...... ...........heating�itbm ............... space. .......................... . ................ W. e., . . OX00u,Fort Collins, C080522 Voice: 970 2216760 FAX 970 224 6134 b�, A# 8 TT !70A5-!-A/c 11,0c, Location Fuel ---I- Type Manufacturer Model # Input capacity kBtuh or kW AFUE or HSPF k1kry-p" C.4rue-r 5'9fVA080)'-1 ...................... ...... . ....... ...... .. . .. ............. ................. ... .. ..... ...... . .. , ..... : ........ . ................ .. ....... :.*.....:.......,.,....-.-.-....�.� .......................... ............. ppaingsY. t hl� ........... I ................. ..... . ... .. ................ ................................ ........ ...... .... ................................. ........ : ..... .. *'-'---"-'---------...-.,.-.---'- ........................................ .... . . .. ...................... ................... - ....... ........................ . ......................... ................................... Location Fuel Type Manufacturer Model # Input capacity kBtuh or kW I SEER 5AST_5;D Fr 10 ........ ............ ................................................. ..... ....... ..0 ..... W ............... .. .. .. ... ....... ................... .... ..... .......... . ..... ..... stem .. . .................... ?:':......I. .... . At6tbea I S ff .......... ......... ................. ... RG, Y§..,.P ......... ......... ........... ..... ........... ..... .......... : .................... ................... ........................... ........... .............. .................... ..... ........... ..................................... ................................... LInput capacity Energy Storage Location 'Fuel Tvpe Manufacturer Model # kBtuh or kW Factor l volume F .................................. ............................. ................ .................. .. .. . ...... ...... ... ..... .......... .... ... .............•.......... C. U­­ .*'.*-.'-.*-.."..".".'-.'-.'.*-.'-.'-.'-".".".'-.= ....... ........... ... ... . ......... er t Ica on::*.-.,:-...-..:.-.-.-.-.-.-.�.-.-.-.-.-.-.-.,..,.,.,.."=-.- ....... .......... . .... . : .... .. ........... ................ ....... ............................................ .................................. .. ...... . ......... ........ . . . ..... *.*.,.,.,.,.*.,.,.*.,.,.,.*.,.,.,.*.I .............. ...... . . . ....... I... .*. I-% 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 I equipment was installed in accordance with manufacturers' instructions. Person CertifyinAJob: nature: Business Firm: I Date: '2 - Address: gL00 ' A-1- 6 Nkan—ca. 13(36_!�s Phone: