Chimney certification for replacement of fuel fired ... - Elizabeth NJ - elizabethnj 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in the Block, Lot, Qualification Code, and Permit # at the top of the form. Ensure that all information is accurate to avoid delays.
  3. Enter the Work Site Address, including Street, City, State, and Zip Code. This section is crucial for identifying the location of the work.
  4. In the Applicant section, provide your name and contact details. This identifies who is responsible for the certification.
  5. Select the appropriate box under 'Type of Replacement' to indicate whether it’s an Oil to Gas Conversion, Gas Appliance Replacement, Oil to Oil Replacement, or Other.
  6. Next, specify the Existing Vent/Chimney type by checking one of the options provided. This helps assess compliance with safety standards.
  7. Choose one of the certification statements that apply to your situation and sign with the date. Make sure you understand what you are certifying.
  8. Finally, review all entries for accuracy before submitting. Once completed, return this form to the Code Enforcement Office prior to final inspection.

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