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1 ` � <br /> Date �ob No. Orsat Test Record <br /> � � Northiand Mechanical Contractors, Inc. ;a-aa��'-� � �� ��v <br /> -9001 Science Ce�ter Driue Tester's►v e License No. <br /> New Hope, MN 5542� �' I � °oy�'''�03� <br /> treet Address Apt.Floor ity Zip ode <br /> 3333 S i� �f�.I a �3( , ��391 <br /> Occu ant Owner Phon� �� � ���_���� <br /> '�A .7 J� J \ <br /> Heat Loss Date Htg.Inst. old y Instal d y lectri al Work By <br /> ~ ���1���- � ' �� <br /> i�-�.► -o� <br /> Gas Line Type of He <br /> ��`� Q GA A �HW �Steam �Space Heater �Unit Heater Q Other <br /> Make Ne� f��a,o y,�,! M erial No. Input <br /> � �` ��fe. ��,0�''lJ 3 2� 1 0 •� a c7� �o� �'r <br /> Make of Burner Model Max.BTU Rating Make of urnace odel <br /> i • �.� •�.- �� �� 1 <br /> Thermostat Heat Pfug Valve Limit ff- � r. Limit Setting <br /> <<.���1��� — N���Q � �b--� <br /> � �� Fan Setti Pilot Type Pilot Make Pilot Model Pilot Timing L.W.Cut Off <br /> y, c� .�n -- �---, <br /> � o � � „�T s E���. �o a.�y�� <br /> Vent Size ind of Liner ize raft Hood Regulator <br /> C�'•� •� None �Q'�1 3 as-3 ►'�"cc��)c��} <br /> Filters Size Number Chimney Location Chim Construction <br /> � o �,I 1 ��^ Outside � ��^'� <br /> Smoke Bomb Wiring Draft TestTa Door Pressure Lighti.ng Inst. <br /> "_'_' �(� o� y"'r� �J�. 'JK� <br /> Pressure ercent 2 Input H R UH Percent 2 tackTemp� Percent � <br /> 3 S�'' �,.,� `�� }�J� .��� �� <br /> .�y��-f. <br />