Weil-McLain -105 Benutzerhandbuch

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GAS
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FIRED
 
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BOILER
 — Boiler Manual
Part number 550-101-233/0903
27
Installation certificate
Boiler model
__________________
CP number
___________
Date installed
_______________
Measured Btuh input ____________  Fuel:  ❏  Natural Gas ❏  Propane
Installation instructions have been followed.
Check out sequence has been performed.
Above information is certified to be correct.
Information received and left with owner/maintenance person
Installer
________________________________(company) _____________________(phone)
________________________________(address)
________________________________(address)
__________________________________
                     (installer’s signature)
Check-out/startup verification
7
Comments:
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________