Ashley DVAG11-DF - Page 3

© 2023 United States Stove Company
3
INSTALLATION CHECKLIST
Your Gas Stove should be installed by a qualied installer only. An NFI qualied Installer can be found at
www.ncertied.org/public/nd-an-n-pro/
INSTALLER CHECK LIST
This Checklist is to be completed in full by the qualied person who installs this unit. Keep this page for
future reference.
Failure to install and commission according to the manufacturer’s instructions and complete this checklist
will invalidate the warranty.
Please Print
Verify Gas Setting (LP or NG) Propane Gas Natural Gas
Customer Name: Telephone Number:
Address:
Model:
Serial Number:
Installation Company Name: Phone Number:
Installation Technician’s Name: License Number:
DESCRIPTION OF WORK
Location of installed appliance: _________________________________________________________________________
Venting System: New Venting System Yes No If yes, Brand __________________________________
If no, Date of inspection of existing venting system: ______________________________________________________
CHECKLIST
Conrm clearances to combustibles as per installation instructions in this manual .................................................
Conrm the venting system is secure and sealed ...............................................................................................................................
Conrm the stove starts and operates properly ....................................................................................................................................
Check to ensure a CO alarm is installed as per local building codes and is functional .............................................
Explain the safe operation, proper fuel usage, cleaning, and routine maintenance requirements .................
Declaration of Completion: As the qualied person responsible for the work described above, I conrm that
the appliance as associated work has been installed as per manufacturer’s instructions and following any
applicable building and installation codes.
Signed: ___________________________________Print Name: ______________________________ Date: _____________
Home Owner: RETAIN THIS INFORMATION FOR FUTURE REFERENCE
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