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Get MI BCC-849 2015

I HYDRO TEST PRESSURE MANUFACTURER LICENSED INSPECTOR LICENSED INSPECTOR’S EMPLOYER BOILER MODEL MICHIGAN BOILER NUMBER □ YES □ NO PREVIOUS MICHIGAN BOILER NUMBER DATE ORIGINAL SIGNATURE OF LICENSED INSTALLER / REPAIRER BCC-849 (Rev. 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 DATE ASME CODE SYMBOL STAMP DESCRIPT.

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