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r,7�/7 U <br /> 0 <br /> HOUSE HEATING TEST RECORD <br /> ADDRESS f SSD l.� � l'.t,�.-C it/ APT. FLOOR CITY SUBURB <br /> v <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY <br /> Electrical Work By Gas Line By <br /> TYPE OF HEAT GA FA',�HW STEAM SPACE HTR. UNtT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE �Pr N ��( MAKE OF BURNER <br /> Model l�-��,� —5� — Z. Model <br /> Serial 5��97 I'� v0,3 �'7 Max. BTU Rating <br /> INPUT ���,�„� MAKE OF FURNACE <br /> Model <br /> CONTROLS <br /> THERMOSTAT �j���v Heat Plug Vent Size 2. " PV L- <br /> Valve Lc/Q_� L zy KIND OF LtNER SIZE NONE <br /> Limit Draft Hood Regulator <br /> Limit Setting /�n p Filters Size Number <br /> Fan Setting T:ti„a � Chimney Location Inside Outside <br /> Pilot Type �'lo�¢„�.�,-� Chimney Construction Z �^10% <br /> Pilot Make <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing z��� Draft Test Tag <br /> L.W. Cut Off Door Pressure Lighting Inst. <br /> Pressure��.S �� Percent COZ ].L Date Tested J"�„�9/-�1 7 <br /> Input CFH � Percent OZ _7,b Company Testing KALMES MECHANICAL, INC. <br /> Stack Temp. /TS�F Percent CO ['� Name of Tester ��r„� � ,,��.�,.,., P 5 <br />