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HOUSE 'i EATINO", TEST RECORD &44vw <br /> ADORESS 27Q <br /> _ APT. FLOOR CITY SUBUR8 <br /> OCCUPANT OWNER <br /> HFAT LOSS DATE RIG. ST'` <br /> SOLO BY INSTALLED BY <br /> Electrical work of Ctes�: n• 8y <br /> TYPE OF HEAT CA FA=1411 STEAM ACE HTR. UNIT HTR. OTHER <br /> A - ,,CAS DESIGN �� u CONVERSION <br /> MAKE �fi�'�.�c MAKE OF BURNER <br /> Model IV — Madel <br /> Serial © Mon. BTU Rating <br /> INPUT MAKE OF FURNACE <br /> Model <br /> CONTROLS <br /> THERMOSTAT Hoot Plug j Vent site <br /> Volvo KIND OF LINER SIZE ONE <br /> LIT(/ Draft Hoed Regulere► <br /> Limit Seninv r Filters SIR* Wumtbar <br /> Fan SeNin1 Chimney Location Inside Outside <br /> i <br /> Pilot Type Chimney Constwellen <br /> Pilot Make <br /> Paler Modelpliz Smoke Berm► —Wiring <br /> Pilot Timime 'a��' <br /> Draft �r� Test Tea <br /> L.W. Cut Of Deer Pressure Lighting Inst <br /> Pressure Percent COQ to Tested <br /> Input CFH y1p Pereent 0 Company Testing <br /> Al- <br /> Stock Temp. ' __Percent CO! ® amo e1 Tester <br />