GWC
-
gas
fired water boiler
Installation and service certificate
Boiler model __________________ Series __________ CP number ___________ Date installed _______________
Measured Btuh input ____________
Installer ________________________ ________________________________ ______________________________
(company) (address) (phone)
_______________________________
(installer's signature)
— Boiler Manual
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.
W-T
8201 W. Calumet Rd.
Milwaukee, WI 53223
Part number 550-142-056/0411