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0011 HAWTHORN STREET - Burner Installation FORM 24 POWER BURNERS Date April 21,1977 Name Mrs Mary KingslAy Location 11 Hawthorn Am . No. of Tanks � 1 Name of Burner Magnatherm Mass. Approval No. 1612 Gals. Stored 275 Kind of Heat W.A . Location of Tank Basement Kind of Oil #2 Installed by Ernest W Skelton C. of C. # 010489 D.C .Sosnowski 04-21-77 Inspected by Date Approved