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Unternehmererklärung
Fachunternehmen = Ersteller
Straße
PLZ, Ort
Bauherrschaft / Auftraggeber
Straße
PLZ, Ort
Standort des Gebäudes
Straße
PLZ, Ort
Die Haustür mit den Abmessungen von einer Breite ............ mm und Höhe ............ mm
hat einen berechneten U
D
Wert ............ W/m
2
K.
Hiermit bestätigen wir, dass die Tür nach den anerkannten Regeln der Technik eingebaut wurde und die EnEV 2009
einhalten.
............................................................................. .............................................................................
Ort, Datum Unterschrift Auftragnehmer / Fachunternehmen
Hiermit bestätige ich den Erhalt und die Kenntnis des Inhaltes der Unternehmererklärung.
............................................................................. .............................................................................
Ort, Datum Unterschrift
Diese Unternehmererklärung ist zum Nachweis der Pflicht § 26 EnEV 2009 mindestens fünf Jahreaufzubewahren!
631087 / 04.2014 51
51


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