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Village of Timber Creek - Dryer Vent/Chimney Inspection Form

Haley Overton

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Village of Timber Creek

Dryer Vent/Chimney Inspection Form

Homeowner Name :
Unit Address :

DRYER VENT INSPECTION:

Date Cleaned:

Cleaning Company* :
*Insert self cleaned if not professionally cleaned*

I acknowledge that the dryer vent has been cleaned and inspected as required. I understand that if I indicated above that I performed the cleaning myself, I assume full responsibility for the self-cleaning.

Please upload a copy of your receipt/invoice for services rendered. If self cleaned, please upload a photo. (Maximum file size 100M. Allowed file extensions are jpg, jpeg, jpe, gif, png, pdf).

For files that exceed the limit or are in an unsupported format, please upload your receipt at: https://eastsupport.fsresidential.com/)

CHIMNEY INSPECTION:

Date Cleaned :

Cleaning Company :

If you haven't used your fireplace this year, provide your last cleaning receipt for proof.

I confirm that I have either had my chimney cleaned as required this year or did not use my fireplace and have provided my most recent cleaning documentation.

Please upload a copy of your receipt/invoice for services rendered. If self cleaned, please upload a photo. (Maximum file size 100M. Allowed file extensions are jpg, jpeg, jpe, gif, png, pdf).

For files that exceed the limit or are in an unsupported format, please upload your receipt at: https://eastsupport.fsresidential.com/)

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Village of Timber Creek

Dryer Vent/Chimney Inspection Form

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