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w. o o�5 o y HEATING TF5T RECORD RECEIVED <br /> ADDRESS _!``9 0 rO0 �C` � APT. FLOOR CITY St � <br /> BgRfq <br /> OCCUPANT �JC/L OWNER •! <br /> HEAT LOSS DATE HTG. INST. !o aF 9G <br /> SOLD BY INSTALLED BY !?-Q L' `< <br /> Electrical Work By Gas Line By L' `< Me eC* <br /> TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE 14 ^!4ff MAKE OF BURNER <br /> Model 3q0MAY o .3 & e'o Model <br /> SerialMax. BTU Rating <br /> INPUT MAKE OF FURNACE <br /> Model <br /> G CONTROLS E� <br /> THERMOSTATHeat Plug Vent Size <br /> Valve �r•� 1-V1-VC-KIND OF LINER/ lSIZE ycr NONE <br /> LimitT1XC,--Irr, L� T1 L cxan 1 Draft Hood /AQ L[c d Regularor 3z'G-3 <br /> Limit Setting 20 cl­/O Filters �A act Number <br /> Fan Setting a Chimney Location Inside Outside <br /> Pilot Type Chimney Construction <br /> Pilot Make AM Ke <br /> Pilot Model Smoke Bomb ' Wiring <br /> Pilot Timing �Cl�T! fe Draft lnd«e_ C d Test Tag <br /> L.W. Cut Off �— Door Pressure Lighting Inst. <br /> Pressure 3 �G L '�` Percent CO2 7 Date Tested 477 <br /> Input CFH too f Percent 02 7 Company Testing —Rouse Mechanical, Inc. <br /> Stack Temp. Percent CO d 1134 Tel Dr. <br /> Mi onka, MN 343 <br /> °L17' Name of Tester <br />