Uputstvo za upotrebu 2
The connection to the chimney was performed by the company:
Company: ______________Responsible person: ____________________
Ulica: ________________________ Grad: _______________________
Telefon: ______________________ Država: ______________________
Datum: ______________ Potpis korisnika: _________________________
Chimney
Type: ……………….
Dimensions (mm): ………………….
Height (m): ……………………….. Underpressure (Pa): ………….
Flue gas temperature at the outlet (°C): ……
Date of last inspection: ………………
Number of connections: ……………….
Flue pipe (if connected ) Cross section (mm): ……………..
Lenth (m): ……………
Number of L-pieces: ……… ............................................................................
REPORT OF
MONTAGEZV
JEŠĆE O
MONTAGE
FILLED OUT BY THE CHIMNEY SWEEP
Stamp and
signature
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