Ar365 2026

The document is a boiler inspection request form from the New York City Department of Environmental Protection, detailing the necessary information for requesting an original or renewal inspection. It includes sections for applicant and equipment owner details, as well as a performance test worksheet that outlines requirements for annual performance testing of boilers. The form emphasizes compliance with environmental regulations and mandates submission of test results and supporting documentation.

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Click ‘Get Form’ to open the ar365 in the editor.
Begin by filling out the 'Request Type' section, selecting either 'ORIGINAL' or 'RENEWAL'. Then, enter the 'Date', 'Fee Paid', and 'Installation No.' as required.
In the 'Information of Premise' section, provide the complete street address, name of the premise (if applicable), floor, room number, borough, zip code, block, lot, and BIN.
Next, complete the 'Information of Applicant' section with your name, telephone number, street address, city/borough, fax number, state, email address, zip code, and cell phone.
Fill in the details for the owner of the equipment in the corresponding fields. Ensure all contact information is accurate.
Provide information for an authorized agent who can be contacted to schedule an inspection. Include their name and contact details.
Finally, ensure you sign and date the form where indicated. Remember that all original inspections must be signed by a licensed professional.

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