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�'j'3d <br /> HOUSE HEATING TEST RECORD <br /> ADDRESS �SS[� Cc � 1.�,�-2 �I/ APT. FLOOR CITY SUBURB <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY <br /> Electrical Work By Gas Line By ITY OF <br /> TYPE OF HEAT GA FA�HW STEAM SPACE HTR. UNIT o�CriO � <br /> GAS DESIGN CO �L�SN�— <br /> MAKE .'n MAKE OF BURNER <br /> Model � A N �i`v ,Q i= Model <br /> Serial c�,s�/`�6, c�l� 9 y Max. BTU Rating <br /> INPUT yU.o���� MAKE OF FURNACE l�A��+ 1��7 <br /> T Modei <br /> CONTROLS ' � <br /> THERMOSTAT ���)f' Heat Plug Vent Size Lf �� <br /> Valve G�J� b�Z� KIND OF LINER SIZE NONE <br /> Limit �6 Draft Hood Regulator <br /> Limit Setting� /7c� ° Filters Size Number <br /> Fan Setting %,'�.i.c�d Chimney Location Inside Outside <br /> PilotType �'%�f�,,..�. �� _ ChimneyConstruction �'� �=�� l�i' <br /> Pilot Make <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing ,� t Draft Test Tag <br /> L.W. Cut Off Door Pressure Lighting Inst. <br /> Pressure ,3.S `` Percent CO2 ?� Date Tested J����/`j 7 <br /> Input CFH y[� Percent 02 7� (o Company Testing KALMES MECHANICAL INC. <br /> Stack Temp. ?_f�.S` Percent CO O Name of Tester ,� ✓'u c P �a ��n.r�s <br />