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.� 745-o) HOUSE HEATING TEST RECORD *SIT SW 3 /2 I <br /> ADDRESS t , w A APT. FLOOR CITY SUBURB LL 6 <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. _ n <br /> SOLD BY INSTALLED BY oc- 1 <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 MAKE OF BURNER <br /> Model Model <br /> Serial Max. BTU Rating CNOF <br /> INPUT lr� C)ejc3 MAKE OF FURNACE `� <br /> Model J a <br /> CONTROLS <br /> THERMOSTAT 1_1_( Heat Plug Vent Size <br /> Valve KIND OF LINER SIZE n.--NONE <br /> Limit �(�T)l 43 Draft Hood C�9Q:FL hj Regularor �(� t'+ <br /> Limit Setting S go Filters Size E A C Number <br /> Fan Setting rrn 1py�) Chimney Location Insides X Outside <br /> Pilot Type c)Ppru<1 `_,NRCL-N Chimney Construction DII P YC <br /> Pilot Make <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing Draft f FIZTTIQ w Test Tag s <br /> L.W. Cut Off _ Door Pressure — Lighting Inst <br /> / f l -� <br /> Pressure �`� Percent CO2 Date Tested aci <br /> Input CFH 5 606 Percent 02 Company Testing \ oGT W Efl-Tl N 1:_ <br /> —1J' <br /> Stack Temp. y Percent CO <br /> //�� 6 Name of Tester `T —T� <br /> Form 235 <br />