0004 ANDOVER STREET - Burner Installation Form 24 Power Burners
Dote Anri1 20 1gRR
Name Wait, (amn
Location 4 Andover Street No. of Tanks 1
Name of Burner nA�kP*r Mass. Approval No. C)Cq
Gals. Stored 275 Kind of Heat FHW
Location of Tank Basement Kind of Oil #2
Installed by Bursaw Corp. C. of C. 017837
Inspected by Insp. Phillips Date Approved 4/19/88