Furnace & Boiler Certification

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Furnace & Boiler Certification

DOWNLOAD PDF - FURNACE / BOILER CERTIFICATION

Fire Station 1
1600 W. Highland Rd.
Highland, MI 48357

Fire Station 2
3550 N. Duck Lake Rd|
Highland, MI 48357

Fire Station 3
510 Clyde Road
Highland, MI 48357

For emergencies only dial 911
Fire Station 1 - Non Emergency (248) 887-8688

CONTRACTOR INFORMATION

Mechanical Contractor:

Contractor Address:

Licensee Name:

License Number:

Choose Category

1

2

3

4

5

6

7

8

9

10 A

B

C

D

E

F

Phone Number:

OWNER INFORMATION & LOCATION

Owner Name:

Job Address:

Owner Phone Number:

FURNACE/BOILER CONDITION

Make & Model

Serial Number:

CO Test Results:

P.P.M.

Pass

Fail

Heat Exchange Condition:

Limit Control Condition:

Gas Valve:

Flame Sensor:

Venting Condition:

Chimney Condition:

Size:

Type:

Filter:

Expansion Tank:

Gas Shut Off:

Pressure Relief/Size/Condition:

Backflow Preventer:

CONTRACTOR CERTIFICATION

Additional Comments/Information

Date

Security code

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