
32
INSTALLATION RECORD
The installer should complete the form below that describes the details of the installation. Having this
written record of installation information available will greatly expedite trouble-shooting should any
problem arise with your stove. The installer should keep a duplicate of this form for their records.
Date Purchased:
_____________________________________________
Dealer:
_____________________________________________
Date Installed:
_____________________________________________
Installer:
_____________________________________________
Fireplace Model: (circle one)
ONE
6
VF TWENTY
6
VF FORTY
6
VF
Serial Number:
_____________________in. WC
Fuel: (circle one)
Natural Gas (NG) Propane (LP)
Inlet Pressure (after installation):
_____________________________________________
Manifold Pressure (after Installation):
High Fire: _____________ in. WC
Low Fire: _____________ in. WC
Altitude: (feet above sea level)
_____________________________________________
Was the stove de-rated? (circle one)
Yes No
If the stove was de-rated, to what orifice size? _____________________________________________
Other installation notes:
_____________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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