HomeMy WebLinkAbout607 STONEY BROOK RD - DISCLOSURES - 4/30/2012J;�1J ir3
)rt Collins Residential Energy Code
ECHANICAL DISCLOSURE FORM
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3 Address:
,ieral contractor:
:hanical contractor:
the building (& zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort CoWns, CO 80522
Voice: 970 2216760 FAX: 970 224 6134
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disclosure form is to be signed by the mechanical contractor or representative of the general contractor ... .
................
se type or print, except for the signature.
!re are multiple systems serving any function, make multiple entries to describe them.
copy of this form must be provided to the Building and ,Zoning Department prior to the C.O.
COPY of this form must be made available to the original home buyer.
I Input capacity ( AFUE or
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Input capacity
Input capacity I Energy I Sfora
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fy that the --------
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above-lisfed equipment
......................................................::::.....,....:.�.�::
........................................ ................:ass::::: �::;:�: �::::::::�::::::::::•::•::•:; q pmen including ducts and piping) was installed in the building at the above locatic
nance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further the
pmen# was Installed In accordance with manufacturers' Instructions. '
:ertifying Job:
Date:
Firm:
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Phone: