UTICA BOILERS MAH-125 Installation, Operation And Maintenance Manual page 71

Condensing wall mounted gas fired boiler
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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 affixed on or adjacent to boiler
Installer (Company)
Address
Phone
Installer's Name
Signature
67
240011941 REV B, [03/31/2018]

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