HomeMy WebLinkAbout626 ATWOOD CT - DISCLOSURES - 7/30/1999Fort
energy code
Job address:
General contractor:
Mechanical contractor:
::.::; .......::: >:: . ... ..:::::: :
Space,heattngsystem ........::.:............. ...: :.:....... • :.:.::.....::.•:.......:
Location
T e
Manufacturer
Input capacity I
Model # kStuh or k
AFUE or
HSPF
_
^Fuel
C,4r
M
6ult. 11T? I lm,w'-)
•`7
.. ...:..,....: .::: .... ..:. .......:.......... . .
$pace.cooling system... :.:.:::::.:.::::.:.:.:::
1.
Water heattng system...... ....I. .......
Input capacityl Energy I Storage
lWe certify that the above -listed equipment was installed in the building at the above locations in conformance with the
current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code, and that it was installed in
accordance with manufacturer's instructions. IMIe certify that any ductwork has been installed in conformance with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.%.
Certified by .1P'IzAt i R.
Business firm: bl 3�ttlta d+ ( .
Address:,yYza Sl+ez.c 1WA. V--4LV1?
Phone: E�kna- ZZl i -SO44
Date: Zo-p
Signature:
This disclosure form is to be 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 describe them.
One copy of this form shall be provided to the Building and Zoning Department at final Inspection.
One copy of this form shall be provided to the homebuyer.
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