| OCR Text |
Show B. 2. Connections black steel__________ copper 3. Condition______ good _______ fair __________poor 4. Do appliances have automatic shut-offs ___ yes______ no 3 Building Interior 1. Heating system:_ N/ AAir conditioning System____________________ a. Type____________________________________________________ b. Fuel c. Adequate________ yes___________no d. Condition overall good e. Last maintained f. Fuel storage describe g. Furnace l ocation Model _____________________ Ser1a - I N0. ______________________ h. 2. 3. 4. -----------------------------------------------------year poor________ type of work done ----------------------------------- ------------------------------------------ Fireplaces N/A a. Free from cracks, breaks, openings, and other defects ____yes___no b. Is fireplace safe______yes______no Free standing stove ~ /A a. Type b. Hodel No . c. Year made d. Distance from floor year installed e. inches; walls .________ inc h Fire resistance material on floor yes _______no f. Describe type of material in e. g. Is the stove safe to use Chimney 8. yes ____________ no N/A Is it free from cracks, breaks opeining or other defects _____yes no ------------ ------ fair describe defects ------------------------------------ --- ... ---- |
