HVAC CERTIFICATE
Property Owners’ Name: ____________________________________________
Address: ____________________________________________ Unit # _______
City: ____________________________________Postal Code _____________
Heating Contractor:
Name: __________________________________________________________
Address: ________________________________________________________
Phone number: ___________________________________________________
Heating company’s TSSA registration #: ________________________________
Class 1 or 2 Gas Fitter inspector’s name: ______________________________
Please Note: The licensed inspector must have a Class 1 or 2 Gas Fitter licence.
A copy of the inspection report must be submitted/attached to this certificate to
be valid.
________________________________________________________________
I, _______________________________ as the owner of the property known as
____________________________Waterloo, Ontario, verify that an inspection
has been completed by a company registered by the TSSA.
Name:____________________________________ Date:__________________
H/By-law/Licensing and Standards Team Info/Forms/HAVC Certificate 2