HomeMy WebLinkAbout4721 DUSTY SAGE LOOP - DISCLOSURES - 9/29/2004r Fort Co IHins Residential Energy Code the building & zOr"119 dept. ofMEHANICAL -DISCLOSURE FORM Community Planning
-7-"c and Environmental services
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General contractor:
Mechanical contractor: (I F- C- V--
7h!3 di3CIosure form is to be signed'by the me"'
to m charical contractor or representgINs ofths genc-r.:-,Ic,,'ntra'c'tor.
Resse type cr orint, except for the signature.
ff there are rT,.uI#j.p!e systems seryfn,; ar YfL'r:cicn- -make multiple entries to
One copy -)f this 'o:-m rrust be provided to the Suilding and Zoning Department prior'*.0 the C".D.
One copy of this forni must be made available to the or Uya
ginal home b
A.,..'.:500ckeheating syst
cooling system,.:
...... ... ....
:.C'. ..grater h-&ati rig, '§Y.' .. .. . ... ...
.. .... ... .. ... .....
-CeftlftUon
-7 -X, ......
•
lIvVe certify that the above -listed equipment (Including ducts and p;pIn9')%vas installed in the building • at the aboy-, locations
in conformance with tne requirements of the For ColihnslResidential Energy Code and Hechan!ca, Code; ar,,+ further, that
such Oquipmert was irstaltz in accordance with manufacturers' instructions.
Person Certifying JgA;
signature: ;_1
Date:
Business Firm:
Address: