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02/15 Front HOT WATER SUPPLY INSTALLATION 161 NATIONAL BOARD R CERTIFICATE NUMBER PROPOSED ALTERATION SUBMITTED FOR REVIEW FAX NUMBER Include Area Code ESTIMATE DATE READY FOR INSPECTION ASME CODE SYMBOL STAMP DESCRIPTION OF WORK BEING PERFORMED ON PERMIT BOILER CLEARANCE Does the boiler have the required clearances of twenty-four 24 inches as required by Rule 408. IMPORTANT A new or reinstalled boiler shall not be operated until an inspection certificate is issued by the Boiler Division State ...

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