HomeMy WebLinkAbout4721 DUSTY SAGE LOOP - DISCLOSURES - 9/29/2004 (3)Fort Collins Residential Energy Code the building & zoning dept. Of
,MECHANICAL DISCLOSURE FORM Community Planning and Environmentai mnamr—L.1 COkge Aye, P.C, se -vices 71
FAX:,�3,224CR 6134 a0 22.
General contractor:
Mechanical contractor:
WSTRUCTIO
7h!3 disclosure form is to be signed ;,,y the mecharical cantr4czcr*
or represe:,,iW
P!esse type c., orint, except for the signature.
ive of �he gene -rat contractor.
If there are n,.u1#jp!; systerns se,-iing any rnuitfple entris-s to eescrj,,s
Ore copy 2f this fo--rn rrust be provided to the Suilding and Zonina Department prior zo the r,,C).
One copy of this form must be ma(le;availabig to the orginai home buyer.
. . . .......
A,*...:.8,000e. heating system:.;:
P.-Sp0e cooling system...
. ....... ... ....... ......
... ... . .. .. ....
. ........ . . . .......
ItWe certify gnat the above -listed equipment (including ducts and piping) was installed in :he building at the above locations
In confoi—mance with t-,te reqUrernejt3 of the For Collins -Residential Energy Code and Mechanical Code; and further. that
Such OWPM-irt was ir.st2tl&d in accordance with manufacturere instructions.
Person Certifying
Business Firm:
Address.
Date:
S 7
e. 13KO/51