English
Dik Geurts
19
Form for fi nal delivery of Store H2O
Build-in date:
Client: …………………………………..
Street: …………………………………..
House
number:
……………………………..
Postal code:
………………………………….. City:
……………………………..
Chimney height:
……………………….….m
Cross-section:
…………………………m
Material:
…………………………….
Hood?, if so, which type:
…………………………..
Height above ridge?
…………....……………..m
Valve?:
…………………………..
Cleaning possibilities:
……………………………..
Air supply:
………………………………
Ø CH connection:
…………………………mm
Pump unit (obligatory)
………………………………..
Ø water connection:
…………………………mm
Control temperature pump unit …………………………….°C
Declaration of delivery:
Firm stamp:
The user hereby declares that the appliance
has been delivered in working order and that
he/she was explained how to use and
maintain the appliance:
Date and signature user:
Date and signature installer:
Dik Geurts
The Netherlands
Appendix 4 Form for fi nal delivery of Store H2O
Summary of Contents for Dik Geurts
Page 1: ...05 11 01 2016 ...
Page 2: ......
Page 9: ...Bijlage 2 Aansluiting haard Dik Geurts 7 N e d e r l a n d s 570 800 390 180 780 196 830 440 ...
Page 10: ...8 Bijlage 3 Meegeleverde beveiligingen 14 Figuur 1 Figuur 2 Figuur 3 Figuur 4 ...
Page 12: ...10 30 05 2012 Store 95 C 60 C B B A C D E F G Bijlage 5 Installatieschema ...
Page 19: ...E n g l i s h Dik Geurts 17 Appendix 2 Connection fire 570 800 390 180 780 196 830 440 ...
Page 22: ...20 30 05 2012 Store 95 C 60 C B B A C D E F G Appendix 5 Installation overview ...
Page 29: ...Annexe 2 Raccordement poêle F r a n ç a i s Dik Geurts 27 570 800 390 180 780 196 830 440 ...
Page 32: ...30 30 05 2012 Store 95 C 60 C B B A C D E F G Annexe 5 ...
Page 33: ...Dik Geurts 31 ...
Page 34: ......
