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HomeMy WebLinkAbout420 PEYTON DR - DISCLOSURES - 7/24/2003 (2)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 Fort Collins Residential Energy Code MECHANICAL DISCLOSURE FORM mchdisclAs —7/10/98 Job Address:, General contractor: .. ...' ... A;.-Sace.heath ..........t.. .......... ......... ...... . :_l ..'''''-:. .............* ''.'.'.'.--- ..........-... ...... .. . ...... ... Location Fuel Type Manufacturer Model # Input capacity I kBtuh or kW AFUEor HSPF Jo qS110 Ito . ....... ......... . ....... ...... ..... ...... ........... .......... ...... ......... .. . ...... .. ........... . .. . . . . . .. . pace.boo incrsys ern, ................... ........ ' "' "I"i .._ ... ................ ... ........... : ......................... Location Fuel Type Manufacturer Model Input capacity kBtuh or kW I SEER yoq-Z_ .......... . ............ .. .......I. . ....0.._............................. ................... ::.. ............ .: .......................... ........ ........ ......­...............­.....­..................:............­.. . .:. ....­. '.­....' ............... . : .......... ...... ... ................. .. :.:............... ..... . .......... .... .................. ... ............... .:._...... ...................... ........... ........... ...................................... ...:. ...... ................................................... ..... C ft etlieptin ..... stein .......... .............. ........-.............. ............ . .................... ............ ­ ..... ............................................................................. ..................................... ............................................. Location Fuel Type Manufacturer I Model # Input capacity I kBtuh or kW Energy I Factor Storage volume F_ ............. I-, ................ ........ .......... ............... .... . . . . ... . ..... ..... ............ f .................. ... .......... ..... ......... .. ..... ........... ...... lea. lonx: .............. .... .............. ........... . ...... ... .... ........ . ... . .. . .' "" " '' ' ' ' '': ' .............. ­ ............... .............. ** ......... . . ... ...... .... ..... ........... ..... . ................ ................. ....... ................ .. ......... .. . ... **above-...... ......... . . ........... . ... ­­ ** ­­ ..... ........ .............. ................................................................................ I/We certify that the 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 manufacturerg' instructions. Person Certifying'Job: Signature: `- Date: Business Firm: kia&w eyqe_5 Address: to-z B. 1-6CAL- Z4&(.a_ - I 4'' blksrNyuu'-Id co, &_x>2-0 Phone: Sjn;3-14QLa—(Q;?,,j