HomeMy WebLinkAbout6303 CARMICHAEL ST - DISCLOSURES - 4/3/2003FRCM
FAX No. :3 May. 01 2003 12:42PM P2
Fort CoIllne fteldential Energy Code the building A zoning dept. of
MECHANICAL DISCLOSURE'. FORM Community Pianniino and Environmientaf Seri&gg
M=Znou 261 It Cobo Ave., P.O. Box $80, Fort Cclllns, CO 80522
Vftw. 970 321 SM FAX, 970 224 6134
Job Address: A-1,
General contractor.
Mechanical contractor. L _qj _S dL).Tc—
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This disclosurs, form Is to be signed by the mechanical oontractcy or rsPrOssAtAtIvO Of i6-98neral contractor.
Piause type or pr1n4 except for the signature.
If there are rnuft1ple qateme serving any funedon, make MuMple entries to describe them.
One copy of this form mug be provided to the Building and Zoning Department pdarto the C.0,
One copy of this fo n, must be , mode available to the original home bqer.
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L—alf
Fuel
MW
Model&
k C,
InpUtGAPINcItY
AFUII*r
ftpF
Lacatlow—
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TV08
to
INA
Input capeelty
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0
Fus . I
far
model 6
Input capacity
. ftergy
I Stmon
-an
r
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jvgms.
I/We certify that the 96*v i;fii6d equtpm...e..n...t..... .
pipnaatelledth`l g) ws InIn e buildl
In Gonformanoo with the requIramerft of the Fort Collins Residential Energy Code and Mechanical
s4oh equipment was Imstsued in 1100ordance with manufaa4rerr lroft4tons.
Person CortifyIngibb: _fIltk4il 5PWCC�
Sual"as Firm: P/i " +r'j�
a at the above location
Code; and further, that
413
7