Installation And Check-Out Certifi Cate - UTICA BOILERS UB90-50 Installation, Operation & Maintenance Manual

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INSTALLATION AND CHECK-OUT CERTIFICATE
INSTALLATION AND CHECK-OUT CERTIFICATE
Boiler Model
Serial #
Date Installed___________
Measured BTU/HR input____________
 Installation instructions have been followed
 Checkout procedure and adjustments performed
 Maintenance and Service issues reviewed with owner/ maintenance person
 Installation booklet affi xed on or adjacent to boiler
Installer (Company)
Address
Phone
Installer's Name
Signature
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Ub90-75Ub90-1004 series

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