| OCR Text |
Show B. 2. Connections ___:_<_black steel __________copper 3. Condition 4. Do appliances have automatic shut-offs 3 X good ________fa i r _________p00 r X under building yes _____no Building Interior 1. Heating system:_~Air conditioning System___________________ a. Type Standing Wall b. Fuel Natural Gas c. Adequate d. Condition overall good e. Last maintained f. Fuel storage describe g. E. kitchen wall center of building. __ Model____________________ None found on it . Serial No. ____________________ ? h. 2. 3. 4. X _yes 81 no X fair year poor________ type of work done cleaning & minor repairs Furnace location ------------------------------------~~-- Fireplaces N/A a. Free from cracks, breaks, openings, and other defects ____yes ____no b. Is fireplace safe______yes ______no N/A Free standing stove a. Type____________________________________________________ b. Hodel No. c. Year made d. Distance from floor e. Fire resistance material on floor f. Describe type of material in e. __________________________ g. Is the stove safe to use____________-"yes _________no ----------year installed----------------------------inches: walls ----------inch -------yes -------no Chimney a. Is it free from cracks, breaks opeining or other defects__X___yes no --------- describe defects --------------------------------- - -- |
