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HOUSE HEATING TEST RECORD <br /> ADDRESS /0 .3 0 7-0,1,e, ,,✓cam0ed APT. FLOOR CITY SUBURB <br /> OCCUPANT OWNER <br /> HEAT LOSS DATE HTG. INST. <br /> SOLD BY INSTALLED BY <br /> Electrical Work By Gas Line By <br /> TYPE OF HEAT GA FA_ C_HW STEAM SPACE HTR. UNIT HTR. OTHER <br /> GAS DESIGN CONVERSION <br /> MAKE 4 P n n J x MAKE OF BURNER <br /> Model U a t, 03 a— /00— Z Model <br /> Serial 5 7 g 7 A 03 2-f3 7- Max. BTU Rating <br /> INPUT /0 t).,)o v MAKE OF FURNACE <br /> Model <br /> CONTROLS n , <br /> THERMOSTAT /-/uJ Heat Plug Vent Size 3 /�/L <br /> Valve KIND OF LINER SIZE NONE <br /> Limit Draft Hood Regulator <br /> Limit Setting /4300 Filters Size Number <br /> Fan Setting TfA4-o 1� Chimney Location yiside Outside <br /> Pilot Type Chimney Construction ye— <br /> Pilot Make <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing oZ See , Draft Test Tag <br /> L.W. Cut Off Door Pressure Lighting Inst. <br /> Pressure 3-1- 11 Percent CO2 7,Z Date Tested 'I Z l 9 f 177 <br /> Input CFH 1W4 000 Percent 02 7-& Company Testing KALMES MECHANICAL, INC. <br /> Stack Temp. l/0 0°G Percent CO 0 Name of Tester <br />