HomeMy WebLinkAbout4721 DUSTY SAGE LOOP - DISCLOSURES - 9/29/2004 (4)For.' CHol-rins Rosidential Energy Code
MECANICAL DISCLOSURE FORM
r
the building & zoning dept. of
Community Planning and Environmental
.�Services CGS281 N. "04cue AveBx!A
, 2. a05221VOi-9. ;70 221 C75:W: ;71224 —7D
S-5.14
"Iress:
General contractor:
Mechanical contractor:
2,0
LNSTRUCTIQNS
This disclosu,e form is to be signed b'
y the rnecharical cartr4ck*cr or raprese,�,4,atjve of
Resse type cr orin4 except for the signature. he general Contractor.
fF there are rrultip!e Eysterns senjing 3r:Y fi,—cftn. make mu!t1pre entriss to 'Iescrfz'a f"a"n.
One copy of this "o.-m rr-tist be Provided to!he Suilding and Zcning Department prior zo the C,C)'
Ore copy of ;his form must, be made available to the Orgina! home buyer.
heating system
. . ..........
..P.-SpAce cooling system.:
VvVe certify that the at eent inclu"',*''..'.."�..,.�!qm(cdLctsandp.pn--9) Was instailed ip e building
- -ai the abcvc locations
in conformance with tat requirements of the For Colil.1s.Rasidentlal Energy Code and Hechanica: Code, arm! further, that
such #qu;pmert was irstaltZ in accordance with manufacturers' instructions.
Person Certifying JjA;
MUSIness firm:
Address:
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