0039 NORMAN STREET - Burner Installation FORM 24 POWER BURNERSS, I
Date (� A//T /
Name Holyoke Insurance
Location 39 Norman Street No. of Tanks
Name of Burner Power Flame Mass. Approval No.
Gals. Stored 10,000 Kind of Heat Staem
Location of Tank Underground Kind of Oil
Installed by Bergeron Plb. H . C. of C. # 160 8
Inspected by Dep. Ssonowski Date Approved 12/13/73