Weil-McLain -105 Manual page 27

7
Check-out/startup verification
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)
Part number 550-100-026/0404
-
GAS FIRED WATER BOILER SERIES
Installation certificate
2 — Boiler Manual
Comments:
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
__________________________________
(installer's signature)
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