HomeMy WebLinkAbout1133 SAINT CROIX PL - DISCLOSURES - 8/7/2003 (6)Job address:
General contractor:
Mechanical contractor:
Space. heating.system
HF-S'MENT
Fort Collins residential energy code 7/96
Mechanical systems disclosurm fr.,..—
Fuel T1/oe
an
Space Coaling system : ;
Input capacity I AFUE or
k8tuh or kN
_ � HSPF
�J
v.Y�azer �e�ating-. s.ysaem
Location I I I
Input capacity Ener
k8tuh or kW gy Storage
Factor volume
i I I
Certification
iNVe certify that the above -fisted equipment was installed in the buildingat th
current requirements of the City of Fort Collins Residential Ener
e above locations in conformance
with the
accordance with manufacturer's instructtons. i gY Code and Mechanical Cade, and that it was installed in
the current requirements of the City of Fart Coll Residential Ener
rttfy that any ductwork has been installed in conformance with
gY Code and Mechanical Code,
Certified by: Na r k S h a d o w e n
Business firm:Phone:
, (9 �� 22�-8873
�R_ ri`T C^LORALO IR T1NC.Date:
Address;
Signature
Instructons
his disciosure term is to ce sianea byW.
Pease type cr - he mechanical ccntrac;or Or representative of the general contrc*pr.
Print except for the signature, ,f there are multiplea systems serving env runc^en, make muitiole entries to describe the
Cne copy or this form shall be provideo to the Building and �,�
Cne coo nin Qe in
Y Of trlis form shall be providea to the horneouyer. g parrment at final inspection.
.'ncnmx.wol/5523 — 0l34/96