HomeMy WebLinkAbout1320 WOODVIEW PL - DISCLOSURES - 6/30/2004Fort Collins Residential Energy Code
MECHANICAL DISCLMURE FORM
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Job Address: --I _32_0
General contractor. PY-0 Ci /
Mechanical contractor. 114 .. ;1 � �11'
the buildin!g A zonir�q dept. of
Community Plamdrig and Environmental Service
s 1
281 N. College Ave,, P.O. Box 580, Fort CiNnA CO 80522
Voice: 970 2216760 FAX 970 224 6134
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This disclosure form is ---i t-o- .... 6e'sf'gn* .... K ......... : ...... ..
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signed by the mechanical contractor or representative of the general contractor.
Please type or print, except for the signature.
If there are multiple systems serving- any function, make. *Multiple entries to descr1b e.
One COPY Of this form must be pr6v[ded to tare Department prior to the C.O.
e Building and Zoning Depa them.
0 -his form must be made available to the original home buyer. . or
One copy Of t
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Input pacity
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I/We certify ................
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that the above-listedequipmentonclud,
in conformance with the requirements ng iping) was installed in the at. e
t! 9 gy 0 th
ents of the Fort Collins Residential En r . cod and Mechanic8l Code; and further, that
such . equipment was installed In accordance with manufacturers, Instructions.
Person Certifying Job:
Business Firm: i by�N,P0 t7 V
Address -
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Date: & -1
Phone: y 7,g
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