Installation Data Sheet, EG-828 Insert BV. FPI

16. INSTALLATION DATA SHEET

The following information must be recorded by the installer for warranty purposes and future reference.

Envirogas Model:

Name of Owner:

__________________________________________

Address:

__________________________________________

Phone:_____________________________________

•Model

:___________________________________

•Serial Number: __________________

•Date of Purchase:

__________/________/________

•Date of Installation:

__________/________/________

•____ Natural Gas (Nat.), ____ Propane (LPG)

•Inlet Gas Supply Pressure: ________ in.w.c. If the orifices were changed by the installer.

•Front Burner Orifice # __________ ,

Back Burner Orifice # ________ .

•Pilot Orifice # ________ or ______ in.Dia. Installer's Signature

Name of Dealer:

___________________________________________

Address:

___________________________________________

Phone: ___________________________________

Name of Installer:

___________________________________________

___________________________________________

Phone :_____________________________________

E-MAIL ADDRESS ( envirofire@home.com)

WEB SITE ADDRESS ( www. Enviro-fire.com )

MANUFACTURED BY:

SHERWOOD INDUSTRIES, 6782 OLDFIELD RD., SAANICHTON, B.C., CANADA V8M 2A3