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HOUSE HEATING TEST RECORD <br /> ADDRESS 550 Tofflkawa Pd APT. FLOOR-- CITY SUBURB <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. GAS CO. METER BAI GEox#troms Heati n and Air <br /> SOLD BY Cronstroms Heating aT, Cetid INSTALLED BY g <br /> Electrical Work By Gas Line By <br /> TYPE OF HEAT GA— FA__�, _. 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 '0.0� ' MAKE OF FURNACE <br /> Model <br /> CONTROLS <br /> n <br /> THERMOSTAT it q e Heat Plug Vent Size � y C <br /> Valve KIND OF LINER SIZE- NONE <br /> LimiDraft HoodRegulator <br /> Limit Setting ° Filters Sizeq-aX2 4 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 Draft Test Tag <br /> L.W. Cut Of Door Pressure Lighting Inst. <br /> u <br /> Pressure Percent CO'2/0`04 Date Tested <br /> Input CFH V0 Percent 02 S� Company Testing C o x r m <br /> Stack Temp."P" ° Percent CO 6��Name of Tester z9l �'��� <br />