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Home My WebLink About6802 NIMITZ DR - DISCLOSURES - 6/22/2009 (2)0611712010 15:17 Smith and Willis HVAC (FAH): I(13131:181311 P.0021005 Fort Collins; Residential Energy Code Neighborhood & 1201r:lirig ; irrvices- MECHANICAL DISCLOSURE FORM 281 N. College Avs., F.C. Box 560, Port C opine, CO 80522 _ mchd�xn�-7/sorea Phone:970221 6760 FAA:P7022-161114 JobAddreoo: Mrflit LL Vd( C 10 1 General contracWr. Mechanical contractor: ) Wl'9iIS INSTRUCTIONS 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 descclbe them. One Copy of this form must be provided to the Building and Zoning Department prior to the C.0. One copy of this form must be made available to the original home buyer. A. Space heating system Location Fuel Tvm Manufacturer h1Put capacity AFIIE or N 011 kBtuhorkW H',PF I B. Space cooling system Loratlon Fuel Type Manufacturer Moddla 4;.L1'-E;VW Input capacity cBtuh or kW SEER S i C. Wate.r homting system ® LocalJo�n Fuel Tvae Manufacturer Prp.ltcapacity Energy IMod�ld :cBtuhorWN Fartor Storage volume CertYflcation IANe certify that the above -listed equipment (including ducts and piping) was installed in the bui41,J1 isi the above locations in conformance with the requirements of the Fort Collins Residential Energy Code and Mechanic-1 Cc de; and further, ;hat such equipment was installed in accordance with manufacturers' Instructions. Person Certifying Job: Business Firm: Address: Phono: A i5— 06/1712010 15:17 Smith and WlHIs IHYAC IFAX)303CIM-1811 F.0031005 Fort CoIllne ReeldenUill Energy Code Nelghbonk i)d ,& Butldinp Services MECHANICAL DISCLOSURE FORM 281 N. CoeogoA it., P.O.13oa sac, FM C3111ne, Co 90522 n a,atraz,usana9e�� Phona: 970 221 t i,60 FA,X:97Q 9134 � Job Address: General conitrmator. Mechenical canrineetor, INSTRUCTIONS This dlsdosure form Is to bo signed by the mechanical oontrector or representell to of the g9ne121 'contractor. Please type or print, except for the signature. If there are multiple Fystame serving any function, make multiple entries to desci be them. One wpy of this form must be provided to the Building and Zoning Department I dor to the C.U. One wpy of this form must be made available to the original home buyer. A. Space heating system B. Space cooliing system .. r • • ■. l C. Water heating system a Loestlen a r `noun copse" Slaw';' or M tinergy t storeys e, acs CertN eetlon VWe certify theft the above -listed equipment (Including duets and piping) wes Ins lolled in the. b0ld9n 1 sit the above locolione In conformance with the requirements of the Fort Collins Residential Energy Cox a and naeenanieai Code; and further, that such equipment wes Installed In e=rdanoo with manufacturers' Instructions. Pelson Certllylng J1 I' 1°i( ob: }) 44jL- f i r e _ TO, DWI fwlx zt11�'il @mta`( L` to WIN1 , , , ' • 06J17/2010 15:13 Srrtlth and WUps HVAC (FAX)I30351S'1811 P.0041005 Fors: Colima Residential Energy Code Neighborht ,od �& Bullrllr! I Services MECHANICAL DISCLOSURE FOR04 281 N. collsee O It, P.O. Roy: $110, I od colKna. CO 8C.M. ^md�ieu�eR�r4 /+tlfef �� L, Phone: 270221 ;MO FAXG7D'2�:.;1813a 2 Job Address: General contractor. Machanlaal contracton y' 0jrAd INSTRUCnONIS This disclosure form is to be signed byte mechanical contractor or representat is of the !genoraf r.ontractor. Please type or print, except for the signature. If there are multiple systems serving any funetlon, make multiple entries to desc ibe them. One espy of this form must be provided to the Building and Zoning Department uior to the C.C. One copy of this fours must pe made available to the original home buyer. A. Space b"Ung system Mpret cepactty I l,FVE or . Cotten .. Fuel T ufacturvir �� ar#VF l ,��-- B. Space coaling system ears —86SM1+ Fuel 1rvDQ M nuf aturar Maeap��— IJIW� d+ptn oepaeity i h or kIN .r./-a SEFR 21 C. Water heatnng system kNr pi 1puilespAcity 5nnrpy Star to tBtuhorMM F�nr gt�p)q . Certtrication INVe certify that the above -listed equipment (Including ducts and piping) was ins rolled In ire: k Wctiu a fit nce at eve locations In oonforman:e wit! the requirements of the Fort Collins Residential Energy Cod it and Mechanical Cade; anC further, that such equipment wim inatellao in accordance with menufacturers' instructions. Person Certtlying Job: Phone: " • g [' 06/1712010 15:13 Sitlth and HM WAC (FAK)30315-i 8.15:11 F.051005 Fort Collins Residential Energy Code Neighborh rod & Building Sorvices MECHANICAL DISCLOSURE FORM let N. College i ,ra., P.O. aoX $00, rort Collins, CO BnS2a MOM,K,M _71100 cm Phonre�970 222211 '.760 FAX: ?70 223 6124 JobAddreae: U pyZ. Nod z �2 U1(�Y� c �D ��:�,. ni �Lj - Oenelal contractor. Nechanloat oonfsaotor. �1 UV rI LJ _... _. INSTRUCTIONS This disclosure torte is to be signed by the mechanical contractor or repreeenta ,re of the general r ardnactor. Piesse type or print, except for the signature. If there are multiple systems serving any function, make multiple entries to des( •fae them. One copy of this farm must be provided to the Building and Zoning Department ; Nor to the C.(`. One copy of this form must be made available to the original home buyer, A. Space heaping system :via ex B. Space cool'ong system C. Water heating system Input capacity rmorgy I0torape Loeepon Fuel 7voo ManufacturerI10e1:100 , _ lets, or MN FA nr I IropurLe— CertIfIcation UIMO eer fy that the above -listed equipment (including ducts and piping) was ins ;sllsd in tho buildir.; st lie sk,oxe taaetions In conformance with the requirements of the Fort Collins Realdentlal Energy Co s and Wchunical Cade; and furthor, that such equipment was installed in accordance with manufacturers' instructlons. Phone-, `i.7 ��