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HOUSE HEATING TEST RECORD (�)C 6 C c,(o <br /> ADDRESS 550 Tonkawa P.d1 APT. FLOOR- CITY SUBURB <br /> OCCUPANT Curt Carlsoti OWNER-SATZ <br /> HEAT LOSS DATE HTG. IN T4 i .. GAS CO. METER BADGE # <br /> SOLD BY Croustroxns rTPati Tag at d TAAl �e��� INSTALLED BY ronstroms ,.eat ng & A.ir <br /> Electrical Work By Gas Line By <br /> TYPE OF HEAT GA_ F Y HW STEAM- SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE Lenxxox MAKE OF BURNER <br /> Model Model <br /> Serial Max. BTU Rating <br /> - <br /> INPUT MAKE OF FURNACE <br /> Model <br /> CONTROLS <br /> THERMOST -� eat Plug Vent Size <br /> r G� <br /> Vaive KIND OF LINER SIZE NONE <br /> Limit uJ Draft Hood _ Regulator <br /> Limit Setting ' Filters Siz Number <br /> Fan Setting Chimney Location Inside Outside <br /> Pilot Type Chimney Construction <br /> Pilot Make <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing !t6 Draft Test Tag <br /> L.W. Cut Off Door Pressure Lighting Inst. <br /> Pressure I Percent CO2Date Tested � 9_5 <br /> Input CFH Percent 02SIZ Company Testing <br /> Stack Temp. Percent CO C.�� Name of Tester 16-K AA40� <br />