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RJ <br /> /HOUSE HEATING TEST RECORD <br /> ADDRESS �bNd Vg4.c'1-w R APT. f FLOOR CITY t• SUBURBS a <br /> OCCUPANT OWNER 6Ltc�ni tiatnQrl — <br /> HEAT LOSS DATE HTG. INST. `�� t <br /> SOLD BY I- A16 INSTALLED BY <br /> Electrical Work By �e`✓ IV Gas Line By <br /> TYPE OF HEAT GA FA_X.HW STEAM SPACE HTR. --UNIT HTR. OTHER <br /> _ GAS DESIGN CONVERSION <br /> MAKE "`'As� f MAKE OF BURNER <br /> Mode I d- cS7a0 gi-c I Model <br /> Serial L,Laglg 039 Max. BTU Rating <br /> INPUT 100,000 MAKE OF FURNACE <br /> Model <br /> CONTROLS <br /> THERMOSTAT Heat Plug Vent Size <br /> Valve KIND OF LINER ; QW0 SIZE NONE <br /> Limit Draft Hood 3 Regularor <br /> Limit Setting Filters Size 16 5,xi i Number <br /> Fan Setting Z� Chimney Location Inside X Outside <br /> Pilot Type Chimney Construction b E14o <br /> Pilot Make I 1 l T <br /> Pilot Model Smoke Bomb Wiring <br /> Pilot Timing Draft Test Tag <br /> L.W. Cut Off Door Pressure A Lighting Inst. <br /> �'� 71- Date Tested 10—/ � 96 <br /> Pressure Percent CO2 <br /> Input CFH I ft 040 Percent 0 Company Testing Name of Tester ��^s [ Pl. ,* <br /> 2 <br /> Stack Temp. N�se Percent CO O G �/ <br /> Form 235 <br />