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HOUSE HEATING TEST RECORD 0 <br /> ADDRESS 550 Ton'r8Na Rd -APT. FLOOR_— CITY SUBURB <br /> OCCUPANT �Y ar son OWNER Curt Carlson <br /> HEAT LOSS DATE HTG. INST. GAS CO. METER BADGE # <br /> SOLD BY—Croust o-s 14gati.gg a,f4,d_A.4.E s.eftd. INSTALLED BY Cronstroms <br /> Electrical Work By Gas Line By <br /> TYPE OF HEAT GA—f1-X-- HW STEAM-- SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE Lennox MAKE OF BURNER <br /> Model Model- <br /> Serial Max. BTU Rating <br /> INPUT 8n.onn MAKE OF FURNACE <br /> Model <br /> CONTROLS <br /> THERMOSTAT °L0 Oeat Plug Vent SizeC- <br /> Valve KIND OF LINER SIZE NONE <br /> Limi AL 11 Draft Hood Regulator <br /> Limit Setting 'moo° Filters Sizes` - -- Number <br /> Fan Setting� Chimney Location Inside Outside <br /> Pilot Type Chimney Construction <br /> Pilot Make <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timin Az=&Oconot Draft Test Tag <br /> L.W. Cut Off �,,'a Door Pressure Lighting Inst. <br /> Pressure^ Percent CO2Date Tested - <br /> Input Percent 02 ';QI2 Company Testing . t oms <br /> Stack Temp./_®a°' Percent CO n�Z Name of Tester 1 <br />